NICOLE GRANGE (NPI# 1649883133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649883133 |
| Entity Type | Individual |
| Full Name | NICOLE GRANGE |
| Practice Address |
581 W 1600 N Orem UT 84057-2571 |
| Mailing Address |
2414 Acadiana Ln Seabrook TX 77586-8309 |
| Practice Telephone | 1801473396 |
| Practice Fax Number | 8017971220 |
| Mailing Telephone | 1801473396 |
| Mailing Fax Number | 8017971220 |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2020-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 172V00000X | Community Health Worker | Other Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356534770 | Nicole Dawn Grange | Physician Assistant | 1181 N Milford Rd, Suite 100, Milford, MI 48381-1061 | 2007-08-20 |
| Street Address |
581 W 1600 N |
| City | OREM |
| State | UT |
| Zip Code | 84057-2571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023474509 | Papilion Integrated Recovery Centers | Clinic/Center | 581 W 1600 N, Orem, UT 84057-2571 | 2016-01-13 |
| 1154934636 | Krystal Booth | Community Health Worker | 581 W 1600 N, Orem, UT 84057-2571 | 2020-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013529932 | Jessica Chang | Social Worker | 870 W, Center, UT 84057 | 2020-08-21 |
| 1750991402 | Dr. Alexander B. Larsen Dds | Dentist | 385 W. Center Street, Orem, UT 84057 | 2020-08-07 |
| 1750911996 | Joanna Ramirez | Behavioral Analyst | 1443 West 800 North #103, Orem, UT 84057 | 2020-01-15 |
| 1790321842 | Nicole Rose Mcdougal | Speech-Language Pathologist | 527 400 N, Ste 2, Orem, UT 84057 | 2019-11-25 |
| 1871151837 | Robert B Fujiki | Speech-Language Pathologist | 1935 N90 W, Orem, UT 84057 | 2019-06-04 |
| 1669965562 | Brian Quigley Inc. | Hearing Instrument Specialist | 895 West Center Street, Orem, UT 84057 | 2018-06-14 |
| 1568960250 | Catherine Collins | Nurse Practitioner | 700 W. 800 N., Suite 220, Orem, UT 84057 | 2018-01-27 |
| 1821596073 | Venice Lucia Wilkes | Physician Assistant | 700 W 800 N # 220, Orem, UT 84057 | 2018-01-23 |
| 1851811160 | Jessie Carlson | Behavior Technician | 475 West 260 North, Orem, UT 84057 | 2017-06-27 |
| 1588013890 | Li Ping Su | Marriage & Family Therapist | 1027 W 1033 N, S108, Orem, UT 84057 | 2016-06-07 |
| Find all providers in zip 84057 | ||||
| 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 |
|---|---|---|---|---|
| 1407338288 | Jecel Kevin Mendoza | Case Manager/Care Coordinator | 1109 W 1390 S, Orem, UT 84058 | 2018-08-29 |
| 1275083297 | Megan Goodman | Case Manager/Care Coordinator | 38 W 355 S, Orem, UT 84058-5412 | 2016-10-13 |
| 1306391370 | Mikala Fairbanks | Case Manager/Care Coordinator | 638 N 450 W, Orem, UT 84057-3794 | 2016-08-19 |
| 1467872010 | Vicky Hernandez | Case Manager/Care Coordinator | 115 S 950 E, Orem, UT 84097-5729 | 2014-04-22 |
| 1124384961 | Jacqueline Wynder | Case Manager/Care Coordinator | 109 N 1020 W, Orem, UT 84057-4409 | 2012-04-05 |
| 1912288580 | Victoria Ruth Blonquist | Case Manager/Care Coordinator | 1774 N 80 W, Orem, UT 84057-2198 | 2011-09-08 |
| 1518343169 | Michelle Stephens | Case Manager/Care Coordinator | 1875 S Geneva Rd, Orem, UT 84058 | 2015-08-05 |
| 1427497049 | Kerianna Lynne Creedon | Case Manager/Care Coordinator | 1479 W Center St, Orem, UT 84057-5104 | 2013-06-17 |
| 1154628352 | Brittney Lige | Case Manager/Care Coordinator | 1479 W Center St, Orem, UT 84057-5104 | 2011-02-24 |
| 1699083428 | Kohl Ahlrichs Carter | Case Manager/Care Coordinator | 195 E 840 S, Orem, UT 84058-5016 | 2010-09-14 |
| Find all providers in OREM | ||||
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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.