KURT DESPAIN (NPI# 1265986608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265986608 |
| Entity Type | Individual |
| Full Name | KURT DESPAIN |
| Credential | R.N. |
| Practice Address |
344 E 100 S Ste 301 Salt Lake City UT 84111-1700 |
| Practice Telephone | 8013224257 |
| Mailing Telephone | 8013224257 |
| Enumeration Date | 2016-08-14 |
| Last Update Date | 2016-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
5901069-3102 | UT | Nursing Service Providers |
| Street Address |
344 E 100 S STE 301 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84111-1700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710702 | Alyssa Nikole Tisdale | Case Manager/Care Coordinator | 344 E 100 S, Salt Lake City, UT 84111-1700 | 2020-11-07 |
| 1275134074 | Tina Floyd | Case Manager/Care Coordinator | 344 E 100 S, Salt Lake City, UT 84111-1700 | 2020-11-06 |
| 1568063360 | Sylvia Anna Malinowski | Case Manager/Care Coordinator | 344 E 100 S, Salt Lake City, UT 84111-1700 | 2020-11-06 |
| 1346841392 | Kasia Fackrell | Case Manager/Care Coordinator | 344 E 100 S, Salt Lake City, UT 84111-1700 | 2020-11-05 |
| 1770184756 | Shayla Dawn Dinger | Case Manager/Care Coordinator | 344 E 100 S, Salt Lake City, UT 84111-1700 | 2020-11-05 |
| 1275134405 | Alicia Beth Zollinger | Case Manager/Care Coordinator | 344 E 100 S, Salt Lake City, UT 84111-1700 | 2020-11-04 |
| 1366043499 | Alyssa Butler | Case Manager/Care Coordinator | 344 E 100 S, Salt Lake City, UT 84111-1700 | 2020-11-04 |
| 1518568823 | Makinley Herrera | Case Manager/Care Coordinator | 344 E 100 S, Salt Lake City, UT 84111-1700 | 2020-11-03 |
| 1851992119 | Brooke Butcher | Case Manager/Care Coordinator | 344 E 100 S, Salt Lake City, UT 84111-1700 | 2020-11-03 |
| 1063012003 | Jasmine Jemima Miyako Garcia | Case Manager/Care Coordinator | 344 E 100 S, Salt Lake City, UT 84111-1700 | 2020-10-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316551336 | Mary Ann Rush | Case Manager/Care Coordinator | 334 E. 100 S., Slc, UT 84111 | 2020-09-08 |
| 1790396554 | Stephanie G Mishenko | Military Health Care Provider | 344e 100s, Slc, UT 84111 | 2020-08-13 |
| 1386264802 | Mckensee M Carter | Case Manager/Care Coordinator | 334 E 100 S, Salt Lake City, UT 84111 | 2020-04-24 |
| 1316421761 | Community Health Centers, Inc. | Social Worker | 610 S 200 E Ste #b, Salt Lake City, UT 84111 | 2018-09-21 |
| 1528545506 | Lauren Brittney Harman | Case Manager/Care Coordinator | 344 E. 100 S., Salt Lake City, UT 84111 | 2018-07-23 |
| 1851896484 | Shivani Chowdhary | Dentist | 370 E South Temple Ste 350, Salt Lake City, UT 84111 | 2018-03-26 |
| 1801390661 | Jaylee Marie Watman | Case Manager/Care Coordinator | 344 E. 100 S. Ste 301, Salt Lake City, UT 84111 | 2018-03-19 |
| 1467963918 | Victoira Julia Graham | Case Management | 344 East 100 South Ste 301, Salt Lake City, UT 84111 | 2017-10-23 |
| 1750805404 | Kayla Hymas | Behavioral Analyst | 243 E. 400 S., Slc, UT 84111 | 2017-08-02 |
| 1134643224 | Julie Peaslee | Counselor | 275 E South Temple Ste 110, Salt Lake City, UT 84111 | 2017-07-31 |
| Find all providers in zip 84111 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760852479 | Jane Webster | Registered Nurse | 344 E 100 S, Ste 301, Salt Lake City, UT 84111-1700 | 2015-10-07 |
| 1720347537 | Sandra Sweitzer | Registered Nurse | 344 E 100 S, Suite 301, Salt Lake City, UT 84111-1700 | 2012-05-14 |
| 1588965164 | Michelle Anna Cluff | Registered Nurse | 344 E 100 S, Salt Lake City, UT 84111-1700 | 2010-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952877490 | Morgan Pritchett | Registered Nurse | 1184 S 2300 E, Spanish Fork, UT 84660-6412 | 2018-10-23 |
| 1790273704 | The Addiction Medicine Physicians Group, LLC | Registered Nurse | 9160 S 300 E. Ste 25, Sandy, UT 84070 | 2018-04-25 |
| 1366939068 | Brookstone Medical Center | Registered Nurse | 198 N 100 E, Saint George, UT 84770-2831 | 2018-04-18 |
| 1780056655 | Linda Dimmick | Registered Nurse | 265 North State Street, Mount Pleasant, UT 84647 | 2015-10-30 |
| 1992071559 | Sumer Dawn Anderson | Registered Nurse | 9533 S 700 E, Ste 203, Sandy, UT 84070-3456 | 2012-03-28 |
| 1659572949 | Armando Wayne Slack | Registered Nurse | 190 S Main St, Centerville, UT 84014 | 2007-05-31 |
| 1679934830 | Jed Atkinson | Registered Nurse | 151 S University Ave, Suite 3200, Provo, UT 84601-4427 | 2016-03-16 |
| 1235534140 | Alicia Milberger | Registered Nurse | 151 S University Ave, Provo, UT 84601-4427 | 2014-11-04 |
| 1427499151 | Karen Lee Burton | Registered Nurse | 344 E 100 S, Ste 301, Slc, UT 84111-1700 | 2013-07-10 |
| 1407199573 | Judith Diana Kupferschmid | Registered Nurse | 344 E 100 S, Ste 301, Slc, UT 84111 | 2013-03-27 |
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| City | SALT LAKE CITY |
| Zip Code | 84111 |
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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.