TACK D MACGREGOR (NPI# 1659914356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659914356 |
| Entity Type | Individual |
| Full Name | TACK D MACGREGOR |
| Credential | REGISTERED NURSE |
| Practice Address |
4501 N University Ave Provo UT 84604-5504 |
| Practice Telephone | 8019322582 |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2019-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
5554957-3102 | UT | Nursing Service Providers |
| Street Address |
4501 N UNIVERSITY AVE |
| City | PROVO |
| State | UT |
| Zip Code | 84604-5504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609843523 | Uhs Provo Canyon Inc | Psychiatric Residential Treatment Facility | 4501 N University Ave, Provo, UT 84604-5504 | 2006-03-01 |
| 1093334070 | Steve Murdock | Counselor | 4501 N University Ave, Provo, UT 84604-5504 | 2020-04-10 |
| 1407482482 | Laraine Murdock | Social Worker | 4501 N University Ave, Provo, UT 84604-5504 | 2020-03-21 |
| 1881237352 | Lauren Owens | Registered Nurse | 4501 N University Ave, Provo, UT 84604-5504 | 2019-10-28 |
| 1457994162 | Timothy W Bartell | Registered Nurse | 4501 N University Ave, Provo, UT 84604-5504 | 2019-10-25 |
| 1346883915 | Jone Lokahi D.t.l. Vuikadavu | Counselor | 4501 N University Ave, Provo, UT 84604-5504 | 2019-10-25 |
| 1255974085 | Universal Health Systems | Community Based Residential Treatment Facility, Mental Illness | 4501 N University Ave, Provo, UT 84604-5504 | 2019-10-24 |
| 1619510575 | Shawn Kraling | Licensed Practical Nurse | 4501 N University Ave, Provo, UT 84604-5504 | 2019-10-23 |
| 1851934707 | Vicky Suruky | Registered Nurse | 4501 N University Ave, Provo, UT 84604-5504 | 2019-10-23 |
| 1164907317 | Sharron Marie Lundeen | Registered Nurse | 4501 N University Ave, Provo, UT 84604-5504 | 2018-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 163WP0807X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003973785 | Katherine Denise Koller | Registered Nurse | 315 S 100 E, Provo, UT 84606-4649 | 2007-01-02 |
| 1457994162 | Timothy W Bartell | Registered Nurse | 4501 N University Ave, Provo, UT 84604-5504 | 2019-10-25 |
| 1164907317 | Sharron Marie Lundeen | Registered Nurse | 4501 N University Ave, Provo, UT 84604-5504 | 2018-10-03 |
| 1740646009 | Steven Hyatt | Registered Nurse | 4501 N University Ave, Provo, UT 84604-5504 | 2016-01-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427660042 | Breanna Nicole Lundquist | Registered Nurse | 15254 S Cavalry Ct, Bluffdale, UT 84065-4992 | 2020-08-17 |
| 1306201256 | Denise Futrell | Registered Nurse | 290 E 500 S, American Fork, UT 84003-2427 | 2015-12-19 |
| 1770948622 | Jason O Zumwalt | Registered Nurse | 3497 W Pawnee St, West Valley, UT 84119-5028 | 2015-12-19 |
| 1376908343 | Michelle Larsen | Registered Nurse | 705 E 200 S, Pleasant Grove, UT 84062-2923 | 2015-12-17 |
| 1851609671 | Diane Everett | Registered Nurse | 11491 Cranberry Hill Ct, Draper, UT 84020-8592 | 2010-09-14 |
| 1780772608 | Patricia Drewry Sanger | Registered Nurse | 1600 Pinebrook Blvd, H 9, Park City, UT 84098-8276 | 2006-10-10 |
| 1073609533 | John W Harris Jr. | Registered Nurse | 497 S Colorow Way, Salt Lake City, UT 84108 | 2006-10-04 |
| 1124096417 | Raeanna Kirk | Registered Nurse | 11706 S 700 E, Draper, UT 84020-9365 | 2006-03-10 |
| 1083105506 | Nicole Yolette Melling | Registered Nurse | 4460 S Highland Dr, Salt Lake City, UT 84124-3543 | 2018-05-21 |
| 1386142586 | Isaac Day Steele | Registered Nurse | 4460 S Highland Dr Ste 230, Salt Lake City, UT 84124-3550 | 2018-01-23 |
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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.