JESSICA RAY CLYDE (NPI# 1427657352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427657352 |
| Entity Type | Individual |
| Full Name | JESSICA RAY CLYDE |
| Credential | LPN |
| Practice Address |
750 N Freedom Blvd Provo UT 84601-1677 |
| Practice Telephone | 8013734760 |
| Mailing Telephone | 8013734760 |
| Mailing Fax Number | 8013730639 |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 373568-1109 | UT | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 750 N Freedom Blvd, Provo, UT 846011677 | 8013734760 | 8013730639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154813376 | Jessica J Clyde | Case Manager/Care Coordinator | 333 W Norfolk Ave Ste 201, Norfolk, NE 68701-5221 | 2018-06-04 |
| Street Address |
750 N FREEDOM BLVD |
| City | PROVO |
| State | UT |
| Zip Code | 84601-1677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679551634 | Amy Buehler | Social Worker | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2006-01-09 |
| 1437750270 | Michael Stevenson | Case Manager/Care Coordinator | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2020-11-06 |
| 1174122683 | Alyssa Ketler | Case Manager/Care Coordinator | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2020-10-26 |
| 1770183261 | Kaitlin Buckway | Case Manager/Care Coordinator | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2020-10-26 |
| 1841899465 | Linda Madsen Fifita | Student in an Organized Health Care Education/Training Program | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2020-10-23 |
| 1134728033 | Tyra Tsosie | Student in an Organized Health Care Education/Training Program | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2020-10-21 |
| 1457950529 | Justin Jacobson | Student in an Organized Health Care Education/Training Program | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2020-10-20 |
| 1881293264 | Kurt Louis Candalot | Case Manager/Care Coordinator | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2020-10-18 |
| 1265030613 | Ailaina Nicole Herman Rice | Student in an Organized Health Care Education/Training Program | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2020-10-16 |
| 1881292233 | Samantha Jean Kyle | Student in an Organized Health Care Education/Training Program | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2020-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902378417 | 1 Assist Care of Utah Valley LLC | In Home Supportive Care | 180 N University Avenue, Suite 270, Office 213, Provo, UT 84601 | 2018-12-21 |
| 1346723319 | Mp Dental LLC | Dentist | 777 N. 500 W. #204, Proud, UT 84601 | 2018-09-14 |
| 1326530601 | Madison Paige Nelson | Case Manager/Care Coordinator | 750 N Freedom Blvd., Provo, UT 84601 | 2018-06-03 |
| 1245758861 | Annette Roylance | Case Manager/Care Coordinator | 750 North Freedom Boulevard, Suite 300, Provo, UT 84601 | 2017-09-04 |
| 1912422205 | Alexandra Mcbride | Specialist/Technologist | 35 N 300 W #440, Provo, UT 84601 | 2017-08-07 |
| 1932638293 | Audrey Clara Clifton | Case Manager/Care Coordinator | 750 North Freedom Blvd., Provo, UT 84601 | 2017-06-08 |
| 1528514197 | Joseph Hyrum Lewis | Case Manager/Care Coordinator | 750 Freedom Blvd, Provo, UT 84601 | 2016-09-01 |
| 1629427620 | Walker Clements | Case Manager/Care Coordinator | 750 North Freedom Blvd, Provo, UT 84601 | 2016-06-09 |
| 1447611595 | Robert Shirley | Student in an Organized Health Care Education/Training Program | 750 North 200 West, Provo, Ut 84601., Provo, UT 84601 | 2016-03-17 |
| 1700286283 | Brelynn Downs | Student in an Organized Health Care Education/Training Program | 750 North Freedom Blvde, Provo, UT 84601 | 2014-09-03 |
| Find all providers in zip 84601 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457981797 | Jon Alfredo Ruiz | Licensed Practical Nurse | 151 S University Ave Ste 3200, Provo, UT 84601-4427 | 2020-01-24 |
| 1619510575 | Shawn Kraling | Licensed Practical Nurse | 4501 N University Ave, Provo, UT 84604-5504 | 2019-10-23 |
| 1144881137 | Mary Edman | Licensed Practical Nurse | 151 S University Ave Ste 3200, Provo, UT 84601-4427 | 2019-06-21 |
| 1932506045 | Velda Green | Licensed Practical Nurse | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2014-12-04 |
| 1588745913 | Christine Gail Hill | Licensed Practical Nurse | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2006-10-19 |
| 1710088372 | Colleen Merritt Wright | Licensed Practical Nurse | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2006-09-26 |
| 1346343662 | Sarah Jane Horsley | Licensed Practical Nurse | 750 North 200 West, Provo, UT 84601 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790261162 | Amy Zarbock | Licensed Practical Nurse | 1917 E Foxmoor Pl, Sandy, UT 84092-5261 | 2018-07-18 |
| 1790275451 | Karen Ruth Anderson | Licensed Practical Nurse | 8540 S 100 E, Sandy, UT 84070-1582 | 2018-05-17 |
| 1346606522 | Katherine Olsen Wilkinson | Licensed Practical Nurse | 247 E 1090 N, Orem, UT 84057-3207 | 2016-01-04 |
| 1376909614 | Jack Y. Webb Jr. | Licensed Practical Nurse | 1842 E 2900 S, Naples, UT 84078-5110 | 2015-12-31 |
| 1023473931 | Robyn L Delgado | Licensed Practical Nurse | 2319 N 790 W, Lehi, UT 84043-2841 | 2015-12-18 |
| 1225400534 | Paul Jones | Licensed Practical Nurse | 6822 East / 1000 South, Fort Duchesne, UT 84026 | 2015-10-26 |
| 1184042236 | Revive Health Center of Utah LLC | Licensed Practical Nurse | 3080 N Fairfield Rd, Suite 1, Layton, UT 84041-8694 | 2014-04-04 |
| 1467876920 | Angela Thorpe | Licensed Practical Nurse | 1995 S 1275 E, Ogden, UT 84401-0761 | 2014-02-04 |
| 1265861751 | Tina Earl | Licensed Practical Nurse | 5965 S 900 E # Eat, Murray, UT 84121-1720 | 2013-11-05 |
| 1588097521 | Brandon Ray Fowler | Licensed Practical Nurse | 9675 N 5750 W, Highland, UT 84003-9150 | 2013-08-13 |
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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.