NANCY HUBER (NPI# 1558766014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558766014 |
| Entity Type | Individual |
| Full Name | NANCY HUBER |
| Credential | P.A.-C. |
| Practice Address |
Mountainland Community Health Center 529 South State Street Provo UT 84606 |
| Mailing Address |
529 South State Street Provo UT 84606 |
| Practice Telephone | 8014292000 |
| Practice Fax Number | 8014292001 |
| Mailing Telephone | 8014292000 |
| Mailing Fax Number | 8014292001 |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2019-08-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 25MP003503000 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 Bowman Dr, Suite E385, Voorhees, NJ 080439623 | 8562477770 | 8562477766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417045683 | Nancy A Huber | Dentist | 6660 Coyle Ave Ste 240, Carmichael, CA 95608-6360 | 2006-10-11 |
| Street Address |
MOUNTAINLAND COMMUNITY HEALTH CENTER 529 SOUTH STATE STREET |
| City | PROVO |
| State | UT |
| Zip Code | 84606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053935551 | Olivia Stiles | Specialist/Technologist | 200 E 515 N, Provo, UT 84606 | 2020-06-01 |
| 1417439076 | Quin Spencer Volpe | Counselor | 1035 E 560 N, Provo, UT 84606 | 2018-08-30 |
| 1700365434 | Hyunwook Lee | Specialist/Technologist | 1369 S 1500 E, Provo, UT 84606 | 2018-08-13 |
| 1598268930 | Victor Bert Arthur Moxley | Specialist | 290 N 300 E, Provo, UT 84606 | 2018-03-12 |
| 1184132623 | Academy Dental LLC | Advanced Practice Dental Therapist | 488 N 100 E St., Provo, UT 84606 | 2018-01-18 |
| 1720433485 | Sean Lamb | Counselor | 231 S. 100 E., Provo, UT 84606 | 2016-05-02 |
| 1508236795 | Forever Young Dentistry Pllc | Clinic/Center | 2335 S. State Street, Ste #200, Provo, UT 84606 | 2015-09-30 |
| 1356778377 | Myrna Suzanne Gillis | Marriage & Family Therapist | 1726 Buckley Drive, Provo, UT 84606 | 2013-10-04 |
| 1558651067 | Melissa Anne Mccreary | Counselor | 151 S.state St. University Ave., Ste 1400, Provo, UT 84606 | 2011-04-18 |
| 1386940799 | Mindy Smith-day | Case Manager/Care Coordinator | 1726 Buckley Lane, Provo, UT 84606 | 2011-02-02 |
| Find all providers in zip 84606 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164049201 | Makenzie Bishop | Physician Assistant | 1077 S 810 E, Provo, UT 84606-6390 | 2020-07-05 |
| 1821643974 | Michael Riding | Physician Assistant | 781 N 1100 E, Provo, UT 84606-2054 | 2019-08-06 |
| 1871147306 | Heather Robson Dunford | Physician Assistant | 1055 N 500 W # 100, Provo, UT 84604-3305 | 2019-08-01 |
| 1730741414 | Griffith Jones | Physician Assistant | 94 S 700 E, Provo, UT 84606-4912 | 2019-07-02 |
| 1770091241 | Scott Schultz | Physician Assistant | 1055 N 500 W Ste 121, Building C, Provo, UT 86404 | 2018-01-17 |
| 1881106359 | Kathryn R. Lovell | Physician Assistant | 465 N 300 W Apt 22, Provo, UT 84601-2797 | 2017-10-24 |
| 1386980597 | Preston Gray | Physician Assistant | 2230 North University Parkway #1a, Provo, UT 84604 | 2012-12-14 |
| 1093088445 | Laurie Melissa Centeno | Physician Assistant | 1157 N 300 W Ste 201, Provo, UT 84604-6124 | 2012-02-15 |
| 1982881181 | Darron Terry Smith | Physician Assistant | 191 N 900 E, Provo, UT 84606-3537 | 2008-01-30 |
| 1760695514 | Bruce Mcclanahan Burnham | Physician Assistant | 3152 North University Ave, Suite 120, Provo, UT 84604 | 2007-05-08 |
| 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.