JACOB BROWN (NPI# 1285041970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285041970 |
| Entity Type | Individual |
| Full Name | JACOB BROWN |
| Practice Address |
704 N State Road 51 Spanish Fork UT 84660-1385 |
| Practice Telephone | 8017940318 |
| Mailing Telephone | 8017940318 |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2014-07-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891214888 | Jacob A Brown | Specialist/Technologist | 2227 Greenlawn Dr, Delaware, OH 43015-1302 | 2017-09-12 |
| 1972035145 | Jacob C. Brown | Physician Assistant | 5300 Se 29th St, Del City, OK 73115-4702 | 2017-03-28 |
| 1730476466 | Jacob Samuel Brown | Dentist | 4805 Green Oaks Dr, River Oaks, TX 76114-3004 | 2011-07-01 |
| 1124315122 | Jacob Brown | Case Manager/Care Coordinator | 736 Martin St, Prescott, AR 71857-2749 | 2011-06-29 |
| 1245425230 | Jacob Theodore Brown Jr. | Psychologist | 7950 Crossroads Dr, 607, North Charleston, SC 29406-9411 | 2007-09-12 |
| 1346358785 | Jacob Lewis Brown | Chiropractor | 119 N Shelby St, Cadillac, MI 49601-1928 | 2006-08-27 |
| 1336191097 | Jacob Michael Brown | Dentist | Cmr 467 Box 4707, Apo, AE 09096-1038 | 2006-05-17 |
| 1427670256 | Jacob Lloyd Brown | Optometrist | 1777 Kuser Rd, Hamilton Square, NJ 08690-3703 | 2020-05-14 |
| 1144786542 | Jacob Brown | Physical Therapist | 1294 S Route 12, Fox Lake, IL 60020-1950 | 2019-02-11 |
| 1972073856 | Jacob A Brown | Dietitian, Registered | 10750 W Mcdowell Rd Ste A300, Avondale, AZ 85392-5963 | 2018-12-04 |
| Street Address |
704 N STATE ROAD 51 |
| City | SPANISH FORK |
| State | UT |
| Zip Code | 84660-1385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215068267 | Extended Family, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 704 N State Road 51, Spanish Fork, UT 84660-1385 | 2007-03-08 |
| 1528542982 | May Brit Reyes | Counselor | 704 N State Road 51, Spanish Fork, UT 84660-1385 | 2018-09-21 |
| 1497259964 | Eric Ohman | Counselor | 704 N State Road 51, Spanish Fork, UT 84660-1385 | 2018-03-20 |
| 1295104552 | Taylor Bleyl | Foster Care Agency | 704 N State Road 51, Spanish Fork, UT 84660-1385 | 2015-09-16 |
| 1013385897 | Lindsay Despain | Foster Care Agency | 704 N State Road 51, Spanish Fork, UT 84660-1385 | 2015-09-09 |
| 1730557513 | Melanie Gilbert | Foster Care Agency | 704 N State Road 51, Spanish Fork, UT 84660-1385 | 2015-09-09 |
| 1821466608 | Isaac Allred | Foster Care Agency | 704 N State Road 51, Spanish Fork, UT 84660-1385 | 2015-09-09 |
| 1013385244 | Benjamin Young | Foster Care Agency | 704 N State Road 51, Spanish Fork, UT 84660-1385 | 2015-09-03 |
| 1053706358 | Magellan Academy, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 704 N State Road 51, Spanish Fork, UT 84660-1385 | 2015-04-02 |
| 1164839825 | Michael Brannin | Foster Care Agency | 704 N State Road 51, Spanish Fork, UT 84660-1385 | 2014-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124661384 | Ihc Health Services Inc | General Acute Care Hospital | 765 E Marketplace Dr, Spanish Fork, UT 84660 | 2019-10-21 |
| 1780157388 | Cfdental Spanish Fork Pllc | Dentist | 1265 North Canyon Creek Parkway, Spanish Fork, UT 84660 | 2019-01-07 |
| 1811406218 | Meds In Motion, LLC | Pharmacy | 555 Ut-164, Suite 110, Spanish Fork, UT 84660 | 2017-09-28 |
| 1720506710 | Alycen Fielding Decosta | Speech-Language Pathologist | 397 S 200 E, Spanish Fork, UT 84660 | 2017-08-30 |
| 1528594983 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 898 S 2550 E, Spanish Fork, UT 84660 | 2017-05-04 |
| 1255870564 | Spanish Fork Community Pharmacy, Inc | Pharmacy | 375 W. Center, Spanish Fork, UT 84660 | 2017-02-20 |
| 1952778649 | Mountain Peak Recovery | Substance Abuse Rehabilitation Facility | 14048 Highway 89, Spanish Fork Canyon, UT 84660 | 2015-08-28 |
| 1639555246 | Ashlee Rose Hunt | Social Worker | 826 N. 100 E, Ste 6, Spanish Fork, UT 84660 | 2015-08-05 |
| 1356772537 | Thistle Creek Ranch | Substance Abuse Rehabilitation Facility | 14048 South Highway 89, Spanish Fork, UT 84660 | 2013-12-12 |
| 1073952818 | Karl M. Francis, Dds PC | Dentist | 375 West Center, Spanish Fork, UT 84660 | 2013-06-14 |
| Find all providers in zip 84660 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285065854 | Terie Wiederhold | Foster Care Agency | 704 N Sr 51, Spanish Fork, UT 84660-1385 | 2013-12-09 |
| 1669783577 | Haven Home for Girls | Foster Care Agency | 185 E 400 N, Spanish Fork, UT 84660-1563 | 2010-06-24 |
| 1295104552 | Taylor Bleyl | Foster Care Agency | 704 N State Road 51, Spanish Fork, UT 84660-1385 | 2015-09-16 |
| 1013385897 | Lindsay Despain | Foster Care Agency | 704 N State Road 51, Spanish Fork, UT 84660-1385 | 2015-09-09 |
| 1730557513 | Melanie Gilbert | Foster Care Agency | 704 N State Road 51, Spanish Fork, UT 84660-1385 | 2015-09-09 |
| 1821466608 | Isaac Allred | Foster Care Agency | 704 N State Road 51, Spanish Fork, UT 84660-1385 | 2015-09-09 |
| 1013385244 | Benjamin Young | Foster Care Agency | 704 N State Road 51, Spanish Fork, UT 84660-1385 | 2015-09-03 |
| 1164839825 | Michael Brannin | Foster Care Agency | 704 N State Road 51, Spanish Fork, UT 84660-1385 | 2014-07-15 |
| 1336563642 | Gregory Davidson | Foster Care Agency | 704 N State Road 51, Spanish Fork, UT 84660-1385 | 2014-02-06 |
| 1578987970 | Weston Gledhill | Foster Care Agency | 704 N State Road 51, Spanish Fork, UT 84660-1385 | 2014-02-06 |
| Find all providers in SPANISH FORK | ||||
| City | SPANISH FORK |
| Zip Code | 84660 |
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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.