SHAON PRIMUS (NPI# 1255622460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255622460 |
| Entity Type | Individual |
| Full Name | SHAON PRIMUS |
| Practice Address |
5965 S 900 E Murray UT 84121-1720 |
| Mailing Address |
5155 S Sandpiper Dr Apt 402 Salt Lake City UT 84117-4725 |
| Practice Telephone | 8012327138 |
| Mailing Telephone | 8018889640 |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2020-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106H00000X | Marriage & Family Therapist | 118439883904 | UT | Behavioral Health & Social Service Providers |
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
5965 S 900 E |
| City | MURRAY |
| State | UT |
| Zip Code | 84121-1720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467817171 | Kaila Jordan | Counselor | 5965 S 900 E, Murray, UT 84121-1720 | 2015-12-22 |
| 1093170706 | Christopher Curlett Jr. | Counselor | 5965 S 900 E, Murray, UT 84121-1720 | 2015-12-22 |
| 1649635350 | Morgan Harnicher | Counselor | 5965 S 900 E, Murray, UT 84121-1720 | 2015-12-22 |
| 1144685223 | Ashlee Gibbs | Counselor | 5965 S 900 E, Murray, UT 84121-1720 | 2015-12-16 |
| 1962867044 | Paul Louis John Belford Jr. | Counselor | 5965 S 900 E, Murray, UT 84121-1720 | 2015-12-16 |
| 1902271463 | Danny Tapueluelu | Counselor | 5965 S 900 E, Murray, UT 84121-1720 | 2015-12-09 |
| 1467827923 | Jennifer Hess | Counselor | 5965 S 900 E, Murray, UT 84121-1720 | 2015-12-09 |
| 1285009746 | Robert Talamante | Counselor | 5965 S 900 E, Murray, UT 84121-1720 | 2015-12-09 |
| 1649645102 | Julie Harris | Counselor | 5965 S 900 E, Murray, UT 84121-1720 | 2015-12-09 |
| 1639544190 | Maria Contreras Chavez | Counselor | 5965 S 900 E, Murray, UT 84121-1720 | 2015-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407483522 | Kaitlyn Horne | Behavior Technician | 6910 S. Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-26 |
| 1952936387 | Jared Wells | Behavior Technician | 6910 S Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-05 |
| 1518591874 | Slc Plastic Surgery LLC | Plastic Surgery | 6686 Highland Drive, Cottonwood Heights, UT 84121 | 2020-02-26 |
| 1093273708 | Anna O'hearon | Counselor | New Roads Behavioral Health, 2450 Fort Union Blvd, Cottonwood Heights, UT 84121 | 2019-03-12 |
| 1053883181 | Charles Keller IIi | Pediatrics | 2198 S Yvonne Rd #344, Salt Lake City, UT 84121 | 2018-12-31 |
| 1669964516 | Marissa King | Specialist | 1141 E. 3900 S. Suite 150a, Salt Lake, UT 84121 | 2018-06-05 |
| 1376044313 | Slpd Cottonwood LLC | Dentist | 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 | 2018-02-26 |
| 1700315462 | Nelson & Tillmann Family Dentistry, PC | Dentist | 5872 S. 900 E. Ste 202, Salt Lake City, UT 84121 | 2017-06-07 |
| 1912430588 | Wasatch Midwifery and Wellness, LLC | Dietitian, Registered | 6440 S Wasatch Blvd, Ste 140, Holladay, UT 84121 | 2017-04-10 |
| 1407308331 | Tina Polgar | Registered Nurse | 6244 Highland Drive, Murray, UT 84121 | 2016-10-26 |
| Find all providers in zip 84121 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821636937 | Traci Lynn Newland | Case Manager/Care Coordinator | 5280 S Commerce Dr, Murray, UT 84107-7929 | 2019-12-19 |
| 1053892349 | Alaysha Arlene Gwen Kingsley | Case Manager/Care Coordinator | 716 E 4500 S # 160, Murray, UT 84107-3080 | 2018-08-24 |
| 1407297310 | Teresa Hartman | Case Manager/Care Coordinator | 716 E 4500 S Ste N160, Murray, UT 84107 | 2013-07-09 |
| 1104437243 | Colleen Parker | Case Manager/Care Coordinator | 716 E 4500 S Ste N160, Murray, UT 84107-3617 | 2020-08-12 |
| 1902415136 | Stephanie Stathis | Case Manager/Care Coordinator | 716 E 4500 S Ste N160, Murray, UT 84107-3617 | 2020-07-23 |
| 1790303246 | Raneka Sydni Jackson | Case Manager/Care Coordinator | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
| 1205454758 | Lenora L Glass | Case Manager/Care Coordinator | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
| 1932727484 | Anna-marie Zaccardi Grow | Case Manager/Care Coordinator | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
| 1528686078 | Vittoria Rosaria Zaccardi Jackson | Case Manager/Care Coordinator | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
| 1801414354 | Nicole E Garrett | Case Manager/Care Coordinator | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
| Find all providers in MURRAY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.