KRISTI LYNN HEISTERMAN (NPI# 1659715845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659715845 |
| Entity Type | Individual |
| Full Name | KRISTI LYNN HEISTERMAN |
| Practice Address |
377 E Riverside Dr Ste B St George UT 84790-4749 |
| Mailing Address |
5965 S 900 E Salt Lake City UT 84121-1720 |
| Practice Telephone | 4358628273 |
| Mailing Telephone | 8012637100 |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2019-06-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
8969585-6004 | UT | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 275 W 100 S, Delta, UT 846249238 | 8665200905 |
| Street Address |
377 E RIVERSIDE DR STE B |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84790-4749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659510956 | Matt Bulkley | Social Worker | 377 E Riverside Dr Ste B, St George, UT 84790-4749 | 2009-02-10 |
| 1801401716 | Carli Mae Standen | Counselor | 377 E Riverside Dr Ste B, St George, UT 84790-4749 | 2020-09-09 |
| 1265921209 | Brian Pace | Counselor | 377 E Riverside Dr Ste B, St George, UT 84790-4749 | 2018-05-04 |
| 1407129588 | C Stan Sullivan | Social Worker | 377 E Riverside Dr Ste B, St George, UT 84790 | 2012-02-20 |
| 1578703468 | Therapy Associates, PC | Counselor | 377 E Riverside Dr Ste B, St George, UT 84790-4749 | 2009-03-04 |
| 1821237686 | Kena Marin Frey | Social Worker | 377 E Riverside Dr Ste B, St George, UT 84790-4749 | 2009-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342713 | Katrina Poulsen | Student in an Organized Health Care Education/Training Program | 617 East Rriverside Dr, Ste 301, St. George, UT 84790 | 2020-10-08 |
| 1124643226 | Desert View Eyecare | Optometrist | 15 South River Road St. 150, St. George, UT 84790 | 2020-06-15 |
| 1366066417 | Benjamin Todd Lloyd | Dentist | 1683 E. Wolf Hole Dr, St. George, UT 84790 | 2020-06-04 |
| 1801434584 | Jennifer M Putnam | Marriage & Family Therapist | 321 North Mall Drive, Vw103, St. George, UT 84790 | 2019-12-12 |
| 1326683012 | Red Mountain Counseling and Education | Counselor | 321 No Mall Dr, Vw 103, St. George, UT 84790 | 2019-11-17 |
| 1295376002 | Karynne Kimberly Simpson | Behavior Technician | 280 N 1680 E U1, St. George, UT 84790 | 2019-10-02 |
| 1962053017 | Mikala Larsen | Nurse Practitioner | 1380 S Medical Center Dr., Saint George, UT 84790 | 2019-09-20 |
| 1326690678 | Joe Ballent | Student in an Organized Health Care Education/Training Program | 1526 S Medical Center Dr Ste 224a, St George, UT 84790 | 2019-07-16 |
| 1558923854 | David Pace | Optometrist | 749 South River Rd, St. George, UT 84790 | 2019-07-08 |
| 1639734924 | Mariah Ann Mertlich | Behavioral Analyst | 280 N 1680 E, U1, St. George, UT 84790 | 2019-05-02 |
| Find all providers in zip 84790 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104437623 | Counseling for Success Inc | Counselor | 166 N 300 W Ste 4, St George, UT 84770-2770 | 2020-08-10 |
| 1881215291 | Laura Helquist | Counselor | 321 N Mall Dr # 0-101, St George, UT 84790-7302 | 2020-04-27 |
| 1952861841 | Billie Jene Authement Acheson | Counselor | 620 S 400 E Ste 404, St George, UT 84770-7065 | 2019-03-25 |
| 1801352380 | Brayden Sloan | Counselor | 225 N Country Ln Unit 55, St George, UT 84770-8458 | 2019-02-20 |
| 1578095683 | Leigh Ann Stambaugh | Counselor | 1031 S Bluff St # 130, St George, UT 84770-5206 | 2017-03-28 |
| 1093252348 | Kathryn G Price Lcmhc LLC | Counselor | 292 S 1470 E, St George, UT 84790-1763 | 2017-01-25 |
| 1659825271 | Connie Hanson | Counselor | 230 N 1680 E Ste T2, St George, UT 84790-2573 | 2016-08-11 |
| 1063880839 | Colby Gannon Backman | Counselor | 301 N 200 E Ste 2c, St George, UT 84770-3040 | 2015-09-09 |
| 1306255435 | Tracy Davis | Counselor | 638 E 3470 S, St George, UT 84790-6246 | 2014-08-02 |
| 1053733949 | Erin Boorman | Counselor | 1240 E 100 S Ste 121, St George, UT 84790-3079 | 2014-01-10 |
| Find all providers in ST GEORGE | ||||
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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.