KAITLYN CAROL WILSON (NPI# 1588219430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588219430 |
| Entity Type | Individual |
| Full Name | KAITLYN CAROL WILSON |
| Practice Address |
4460 S Highland Dr Ste 210 Salt Lake City UT 84124-3550 |
| Practice Telephone | 8889494864 |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2019-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255829198 | Kaitlyn Michelle Wilson | Dental Assistant | 6323 N Fresno St Ste 101, Fresno, CA 93710-5282 | 2018-04-26 |
| 1194367888 | Kaitlyn Marie Wilson | Occupational Therapist | 900 Orchid Springs Dr, Winter Haven, FL 33884-3656 | 2019-10-14 |
| 1477048239 | Kaitlyn Marie Wilson | Social Worker | 108 Belmont St, Worcester, MA 01605-4902 | 2018-06-25 |
| 1144778689 | Kaitlyn Wilson | Physical Therapist | 17650 140th Ave Se Ste B7, Renton, WA 98058-6814 | 2016-09-13 |
| 1164606216 | Kaitlyn Page Wilson | Speech-Language Pathologist | 2225 Old Emmorton Road, Suite 210, Bel Air, MD 21015 | 2007-12-26 |
| Street Address |
4460 S HIGHLAND DR STE 210 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84124-3550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912077629 | Charmaine Regina Stapfer | Counselor | 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124 | 2006-11-09 |
| 1679174908 | Theresa Furbish | Nurse Practitioner | 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550 | 2020-11-03 |
| 1841891173 | Anastasia Holmen | Case Manager/Care Coordinator | 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550 | 2020-11-03 |
| 1740881077 | Marianne Longoria | Case Manager/Care Coordinator | 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550 | 2020-11-03 |
| 1700487048 | Michelle Teresa Wilcock | Pharmacy Technician | 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550 | 2020-11-03 |
| 1730780065 | Wilson Lee | Case Manager/Care Coordinator | 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550 | 2020-11-03 |
| 1952901837 | Brenda Sariah Lopez | Case Manager/Care Coordinator | 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550 | 2020-10-29 |
| 1437759669 | Ian Grant White | Case Manager/Care Coordinator | 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550 | 2020-10-27 |
| 1528668035 | Carina Terry | Case Manager/Care Coordinator | 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550 | 2020-10-26 |
| 1114526282 | Alishka Khaosanga | Case Manager/Care Coordinator | 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550 | 2020-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487273298 | Shannon Penny Price | Social Worker | 4465 Maybeck Place, Condo C, Millcreek, UT 84124 | 2020-04-11 |
| 1922654367 | Joseph C Melvin Md PC | Colon & Rectal Surgery | 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 | 2019-08-12 |
| 1366923252 | Melanie Stumpf | Counselor | 1141 E 3900, Suite A170, Salt Lake City, UT 84124 | 2018-08-28 |
| 1376033993 | Michelle Flowers | Speech-Language Pathologist | 2120 East 3900 South, Ste 200, Holladay, UT 84124 | 2018-05-18 |
| 1740797257 | Lissa Anne Hutchings | Nurse Practitioner | 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 | 2018-01-05 |
| 1316465693 | Randy Gines | Counselor | 4460 S Highland Drive # 230, Murray, UT 84124 | 2017-09-06 |
| 1417470717 | Joshua Chandler Spencer | Counselor | 4460 South Highland Dr., 230, Murray, UT 84124 | 2017-07-19 |
| 1659891554 | Marcus Whitney | Counselor | 4460 S Highland Dr. # 230, Murray, UT 84124 | 2017-06-21 |
| 1518496884 | Courtney Nilson | Counselor | 4460 S. Highland Dr. #230, Murray, UT 84124 | 2017-06-08 |
| 1841687126 | Intrafilrx | Preferred Provider Organization | 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 | 2015-04-23 |
| Find all providers in zip 84124 | ||||
| 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 |
|---|---|---|---|---|
| 1689281818 | Devery White | Case Manager/Care Coordinator | 195 N 1900 W, Salt Lake City, UT 84116 | 2020-10-01 |
| 1326652116 | Brenna Colleen Ball | Case Manager/Care Coordinator | 671 N Oakley St, Salt Lake City, UT 84116-3833 | 2020-08-31 |
| 1437761368 | Tonia Price | Case Manager/Care Coordinator | 625 S 200 E, Salt Lake City, UT 84111-3801 | 2020-08-21 |
| 1386264802 | Mckensee M Carter | Case Manager/Care Coordinator | 334 E 100 S, Salt Lake City, UT 84111 | 2020-04-24 |
| 1619502374 | Bradford Nielson | Case Manager/Care Coordinator | 344 E 100 S # B, Salt Lake City, UT 84111-1700 | 2020-03-03 |
| 1225662521 | Rob Lequia | Case Manager/Care Coordinator | 344 E 100 S # 344e100s, Salt Lake City, UT 84111-1700 | 2020-02-25 |
| 1154970507 | Lori Cerar | Case Manager/Care Coordinator | 230 W 200 S Ste 142, Salt Lake City, UT 84101-1337 | 2019-09-09 |
| 1457907776 | Christina Lee Oppenheimer | Case Manager/Care Coordinator | 230 W 200 S # 142, Salt Lake City, UT 84101-1337 | 2019-08-13 |
| 1184196230 | Roselia Yanella Chavez | Case Manager/Care Coordinator | 1233 W 700 S, Salt Lake City, UT 84104-2657 | 2018-12-28 |
| 1588149132 | Madeleine Smith | Case Manager/Care Coordinator | 344 E 1st S, Salt Lake City, UT 84111-1700 | 2018-09-29 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84124 |
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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.