KATRINA POULSEN (NPI# 1396342713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396342713 |
| Entity Type | Individual |
| Full Name | KATRINA POULSEN |
| Credential | NP |
| Practice Address |
617 East Rriverside Dr Ste 301 St. George UT 84790 |
| Practice Telephone | 4352167000 |
| Practice Fax Number | 4352167001 |
| Mailing Telephone | 4352167000 |
| Mailing Fax Number | 4352167001 |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
617 EAST RRIVERSIDE DR STE 301 |
| City | ST. GEORGE |
| State | UT |
| Zip Code | 84790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124643226 | Desert View Eyecare | Optometrist | 15 South River Road St. 150, St. George, UT 84790 | 2020-06-15 |
| 1366066417 | Benjamin Todd Lloyd | Dentist | 1683 E. Wolf Hole Dr, St. George, UT 84790 | 2020-06-04 |
| 1801434584 | Jennifer M Putnam | Marriage & Family Therapist | 321 North Mall Drive, Vw103, St. George, UT 84790 | 2019-12-12 |
| 1326683012 | Red Mountain Counseling and Education | Counselor | 321 No Mall Dr, Vw 103, St. George, UT 84790 | 2019-11-17 |
| 1295376002 | Karynne Kimberly Simpson | Behavior Technician | 280 N 1680 E U1, St. George, UT 84790 | 2019-10-02 |
| 1962053017 | Mikala Larsen | Nurse Practitioner | 1380 S Medical Center Dr., Saint George, UT 84790 | 2019-09-20 |
| 1326690678 | Joe Ballent | Student in an Organized Health Care Education/Training Program | 1526 S Medical Center Dr Ste 224a, St George, UT 84790 | 2019-07-16 |
| 1558923854 | David Pace | Optometrist | 749 South River Rd, St. George, UT 84790 | 2019-07-08 |
| 1639734924 | Mariah Ann Mertlich | Behavioral Analyst | 280 N 1680 E, U1, St. George, UT 84790 | 2019-05-02 |
| 1245714971 | Jacoby Johnson | Behavioral Analyst | North Bldg A, 230 N 1680 E, St George, UT 84790 | 2018-09-19 |
| Find all providers in zip 84790 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205829 | Brittany Nicole Beverly | Student in an Organized Health Care Education/Training Program | 236 N Sun Arbor Ter Apt 2111, Salt Lake City, UT 84116-4537 | 2020-11-06 |
| 1649871617 | Brian Anders Johnson | Student in an Organized Health Care Education/Training Program | 720 S River Rd Ste B105, St George, UT 84790-5704 | 2020-11-05 |
| 1336740505 | Benjamin H Reece | Student in an Organized Health Care Education/Training Program | 191 N Clark Ln, Elk Ridge, UT 84651-9550 | 2020-11-04 |
| 1538760061 | Joshua Ty Winters | Student in an Organized Health Care Education/Training Program | 3691 W Pure Nirvana Ln, Herriman, UT 84096-2617 | 2020-11-02 |
| 1972103885 | Ryan James Larsen | Student in an Organized Health Care Education/Training Program | 1786 N Main St, Centerville, UT 84014-1133 | 2020-10-29 |
| 1134727142 | Jonathon Cahoon | Student in an Organized Health Care Education/Training Program | 10604 N 5550 W, Highland, UT 84003-8903 | 2020-10-12 |
| 1558968529 | Raul G Betancourt-perez | Student in an Organized Health Care Education/Training Program | 151 Coventry Pl, Logan, UT 84341-1998 | 2020-10-02 |
| 1386241560 | Rebecca Nay | Student in an Organized Health Care Education/Training Program | 4052 West 3390 South, Suite 105, West Valley City, UT 84120-2049 | 2020-10-01 |
| 1730793852 | Katrina Rose Emery | Student in an Organized Health Care Education/Training Program | 1374 E Willow Vista Dr, Sandy, UT 84093-6644 | 2020-09-04 |
| 1134733439 | Kelly C Cook | Student in an Organized Health Care Education/Training Program | 55 500 E, Heber, UT 84032 | 2020-09-03 |
| Find all providers with the same taxonomy | ||||
| City | ST. GEORGE |
| Zip Code | 84790 |
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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.