DAVID RANDALL STODDARD


Address: 5965 S 900 E, Salt Lake City, UT 84121-1720
Phone: 8012637100

DAVID RANDALL STODDARD (NPI# 1265869242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265869242
Entity Type Individual
Full Name DAVID RANDALL STODDARD
Practice Address 5965 S 900 E
Salt Lake City
UT 84121-1720
Practice Telephone 8012637100
Mailing Telephone 8012637100
Enumeration Date 2013-10-04
Last Update Date 2013-10-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Other Providers DAVID STODDARD

NPI Name Taxonomy Address Enumeration
1629398706 David G Stoddard Otolaryngology 217 W Cataldo Ave, Spokane, WA 99201-2217 2010-06-11
1124095815 David L Stoddard Nurse Anesthetist, Certified Registered 13601 Preston Rd, Suite 1000w, Dallas, TX 75240-4911 2006-03-02
1609840230 David J Stoddard Dentist 815 N Custer, Grand Island, NE 68803 2006-02-13

Office Location

Street Address 5965 S 900 E
City SALT LAKE CITY
State UT
Zip Code 84121-1720

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497745301 Debra Lynn Falvo Registered Nurse 5965 S 900 E, Salt Lake City, UT 84121-1720 2005-10-24
1376908087 Alyssa Milne Counselor 5965 S 900 E, Salt Lake City, UT 84121-1720 2015-12-22
1053776138 Rachel Feinberg Counselor 5965 S 900 E, Salt Lake City, UT 84121-1720 2015-12-16
1174997894 April Madsen Counselor 5965 S 900 E, Salt Lake City, UT 84121-1720 2015-11-18
1639542608 Lauren Carah Christensen Counselor 5965 S 900 E, Salt Lake City, UT 84121-1720 2015-11-12
1154794725 Claire Nitz Counselor 5965 S 900 E, Salt Lake City, UT 84121-1720 2015-11-04
1063884427 Jannah Lee Faumuina Social Worker 5965 S 900 E, Salt Lake City, UT 84121-1720 2015-10-26
1215309901 Joni Whitaker Counselor 5965 S 900 E, Salt Lake City, UT 84121-1720 2015-10-21
1295107076 Anisa Plastow Social Worker 5965 S 900 E, Salt Lake City, UT 84121-1720 2015-10-20
1891166658 Jennifer Wallace Counselor 5965 S 900 E, Salt Lake City, UT 84121-1720 2015-10-19
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780281519 Sitti Suhardi Counselor 2550 S Main St Apt 1307, Salt Lake City, UT 84115-3071 2020-10-05
1801400015 Tyra Mae Vance Counselor 3375 S 880 E, Salt Lake City, UT 84106 2020-09-04
1033721394 Salt Lake Therapy Collective Counselor 311 S 900 E Ste 103, Salt Lake City, UT 84102-2491 2020-08-18
1083172704 Brooke Pyper Counselor 335 W Bugatti Dr, Salt Lake City, UT 84115-2521 2019-03-12
1881168185 Korilynn Cheatham Bartley Counselor 124 S 400 E Ste 300, Salt Lake City, UT 84111-5307 2019-01-20
1164910089 Gerald Louis Costley Counselor 339 E 3900 S Ste 155, Salt Lake City, UT 84107-1978 2018-04-26
1912412867 Jackson Patrick Collins Counselor 1650 E 6670 S, Salt Lake City, UT 84121-2760 2017-12-13
1891225678 Phil Edward Francis Counselor 4000 S 700 E Ste 9, Salt Lake City, UT 84107-2581 2017-06-14
1063866549 Dustin Palmer Counselor 344 E 100 S # 230, Salt Lake City, UT 84111 2016-04-20
1740642735 Misty Tae Ungricht Counselor 4460 S Highland Dr Ste 2106b, Salt Lake City, UT 84124-3543 2016-03-28
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Competitor

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City SALT LAKE CITY
Zip Code 84121

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Dataset Information

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.

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