TRAVIS WESLEY EIDE (NPI# 1609474196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609474196 |
| Entity Type | Individual |
| Full Name | TRAVIS WESLEY EIDE |
| Practice Address |
195 N 1950 W Salt Lake City UT 84116-3100 |
| Practice Telephone | 8015384001 |
| Mailing Telephone | 8015384001 |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
195 N 1950 W |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84116-3100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346402229 | Amanda Alkema | Social Worker | 195 N 1950 W, Salt Lake City, UT 84116-3100 | 2008-07-01 |
| 1023618329 | Betty Sue Higley | Case Manager/Care Coordinator | 195 N 1950 W, Salt Lake City, UT 84116-3100 | 2020-10-27 |
| 1659971158 | Cheryl Janae Stewart | Case Manager/Care Coordinator | 195 N 1950 W, Salt Lake City, UT 84116-3100 | 2020-10-26 |
| 1437703220 | Jana Elliott | Case Manager/Care Coordinator | 195 N 1950 W, Salt Lake City, UT 84116-3100 | 2019-07-30 |
| 1083277024 | Kade Scott Hampton | Case Manager/Care Coordinator | 195 N 1950 W, Salt Lake City, UT 84116-3100 | 2019-04-16 |
| 1972068807 | Breanna L Robinson | Social Worker | 195 N 1950 W, Salt Lake City, UT 84116-3100 | 2019-02-05 |
| 1497228860 | Heidi Kelso | Case Manager/Care Coordinator | 195 N 1950 W, Salt Lake City, UT 84116-3100 | 2019-01-08 |
| 1932671153 | Patricia Garcia | Case Manager/Care Coordinator | 195 N 1950 W, Salt Lake City, UT 84116-3100 | 2018-12-28 |
| 1114498102 | Amanda Rocio Duran | Case Manager/Care Coordinator | 195 N 1950 W, Salt Lake City, UT 84116-3100 | 2018-12-17 |
| 1104396951 | Rebecca Hinchcliff | Case Manager/Care Coordinator | 195 N 1950 W, Salt Lake City, UT 84116-3100 | 2018-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689281818 | Devery White | Case Manager/Care Coordinator | 195 N 1900 W, Salt Lake City, UT 84116 | 2020-10-01 |
| 1114402377 | Felicia Marie Speer | Community Health Worker | 1303 Sir Phillip Dr, Salt Lake City, UT 84116 | 2018-10-03 |
| 1982144341 | Sharlena Schacht | Pharmacy Technician | 1040 North 2200 West, Salt Lake City, UT 84116 | 2017-03-06 |
| 1316300460 | Riverside Family Dental Care, Inc | Clinic/Center | 1614 W 700 N, Salt Lake City, UT 84116 | 2016-04-05 |
| 1174882856 | Marilyn Ross | Nurse Practitioner | 384 Wright Brothers Dr., Marilyn Ross Bld #2, Salt Lake City, UT 84116 | 2012-05-15 |
| 1720387137 | Lifetime Products Inc. | Durable Medical Equipment & Medical Supplies | 745 N Warm Springs Rd, Salt Lake City, UT 84116 | 2011-03-24 |
| 1811000276 | Kim Coston Christensen | Preventive Medicine | 2150 West 700 North, Kim C. Christensen D.o. Faa Sl/artcc Mfo, Salt Lake City, UT 84116 | 2006-08-17 |
| 1144705583 | Brian Larry Gashler | Family Medicine | 54 N 8th W, Salt Lake City, UT 84116 | 2018-10-02 |
| 1528350972 | Aliesha Shaw | Student in an Organized Health Care Education/Training Program | 26 South 2000 East, 5900, Salt Lake City, UT 84116 | 2011-05-04 |
| 1427035187 | Sarah Lynn Woolsey | Family Medicine | 1365 W 1000 N, Salt Lake City, UT 84116 | 2005-12-23 |
| Find all providers in zip 84116 | ||||
| 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 | 84116 |
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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.