KAYLA WILSON (NPI# 1528479912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528479912 |
| Entity Type | Individual |
| Full Name | KAYLA WILSON |
| Credential | SSW |
| Practice Address |
750 N Freedom Blvd Provo UT 84601-1677 |
| Practice Telephone | 8013734760 |
| Practice Fax Number | 8013730639 |
| Mailing Telephone | 8013734760 |
| Mailing Fax Number | 8013730639 |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2020-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 10934517-3503 | UT | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952938565 | Kayla Brooke Wilson | Physician Assistant | 11300 Glasgow Rd, Burkesville, KY 42717-8549 | 2020-03-24 |
| 1063055663 | Kayla Wilson | Registered Nurse | 128 Deer Run Ln, Harvest, AL 35749-9402 | 2019-10-26 |
| 1235659079 | Kayla Marina Wilson | Specialist/Technologist | 6556 Arlington Ave Apt 2c, Riverside, CA 92504-1909 | 2017-06-22 |
| 1275982381 | Kayla Wilson | Technician, Other | 136 S Andre St, Saginaw, MI 48602-2516 | 2016-06-09 |
| 1760090344 | Kayla Soriya Wilson | Student in an Organized Health Care Education/Training Program | 456 E Orange Grove Blvd Ste 140, Pasadena, CA 91104-5235 | 2020-07-20 |
| 1699394189 | Kayla Wilson | Occupational Therapist | 848 Adams Ave, Memphis, TN 38103-2816 | 2020-04-14 |
| 1972137743 | Kayla Elizabeth Wilson | Student in an Organized Health Care Education/Training Program | 541 Main St, Weymouth, MA 02190-1868 | 2020-03-02 |
| 1306307152 | Kayla Wilson | Case Manager/Care Coordinator | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2019-03-26 |
| 1205296787 | Kayla Wilson | Speech-Language Pathologist | 702 N Missouri St, Macon, MO 63552-2062 | 2016-02-26 |
| 1629354881 | Kayla K Wilson | Physical Therapy Assistant | 35902 Hwy 27, Haines City, FL 33844-3737 | 2011-11-01 |
| 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 |
| 1427657352 | Jessica Ray Clyde | Licensed Practical Nurse | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2020-10-21 |
| 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 |
| 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 | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710444559 | Kimberlee Hughes | Case Manager/Care Coordinator | 750 N Freedom Blvd Ste 123, Provo, UT 84601-1677 | 2019-02-28 |
| 1174088132 | Jennifer Tecson Narra | Case Manager/Care Coordinator | 655 E 600 N Apt 2, Provo, UT 84606-6945 | 2019-02-04 |
| 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 |
| 1932638293 | Audrey Clara Clifton | Case Manager/Care Coordinator | 750 North Freedom Blvd., Provo, UT 84601 | 2017-06-08 |
| 1447792015 | Emmanuela Bailey | Case Manager/Care Coordinator | 750 N Freedom Blvd # 200w, Provo, UT 84601-1677 | 2016-11-13 |
| 1073060091 | Kara Traasdahl | Case Manager/Care Coordinator | 189 Wymount Ter, Provo, UT 84604-1934 | 2016-09-07 |
| 1528514197 | Joseph Hyrum Lewis | Case Manager/Care Coordinator | 750 Freedom Blvd, Provo, UT 84601 | 2016-09-01 |
| 1437500691 | Nathan David Astle | Case Manager/Care Coordinator | 1092 E 360 S, Provo, UT 84606-5222 | 2016-06-28 |
| 1629427620 | Walker Clements | Case Manager/Care Coordinator | 750 North Freedom Blvd, Provo, UT 84601 | 2016-06-09 |
| 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.