WASATCH BACK VENTURE TRAIL (NPI# 1407466089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407466089 |
| Entity Type | Organization |
| Organization Name | WASATCH BACK VENTURE TRAIL |
| Practice Address |
3585 N University Ave Ste 250 Provo UT 84604-6622 |
| Practice Telephone | 4355132715 |
| Mailing Telephone | 4355132715 |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2020-08-07 |
| Authorized Official Name | MEGAN PERRY (OWNER) |
| Authorized Official Telephone | 4355132715 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
3585 N UNIVERSITY AVE STE 250 |
| City | PROVO |
| State | UT |
| Zip Code | 84604-6622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790324903 | Sarah Lauren Campbell | Social Worker | 2624 W 1520 N, Provo, UT 84601-8277 | 2020-01-06 |
| 1366905556 | Kiley Mccall Kidd | Social Worker | 719 N 1890 W # 38b, Provo, UT 84601-1333 | 2019-04-13 |
| 1780163295 | Spencer Kjell Taysom | Social Worker | 341 E 4380 N, Provo, UT 84604-5112 | 2018-08-07 |
| 1164882049 | Matthew A Jonassaint | Social Worker | 487 W 400 N, Provo, UT 84601-2749 | 2016-03-04 |
| 1013301233 | Paubla Thomson | Social Worker | 775 E 700 N, Provo, UT 84606-1954 | 2015-03-25 |
| 1053694364 | Aleksi Poirier | Social Worker | 1157 East 300 North, Provo, UT 84606-6633 | 2011-09-22 |
| 1932330693 | Steven Kelly | Social Worker | 151 S University Ave # 1400, Provo, UT 84601-4427 | 2009-07-29 |
| 1922251065 | Michael Allan Hoffman Jr. | Social Worker | 30 Wymount Ter, Provo, UT 84604-1907 | 2008-11-03 |
| 1134220635 | Adrienne I Duffany | Social Worker | 1161 E 300 N, Provo, UT 84606-3539 | 2006-09-26 |
| 1710088166 | Eugene Inia Tamihana Marshall | Social Worker | 5600 North Heritage Drive, Provo, UT 84604-1677 | 2006-09-26 |
| Find all providers in PROVO | ||||
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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.