TIMOTHY FIDLER (NPI# 1669782405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669782405 |
| Entity Type | Individual |
| Full Name | TIMOTHY FIDLER |
| Practice Address |
13073 Wheatfield Way Draper UT 84020-9253 |
| Practice Telephone | 8014950946 |
| Practice Fax Number | 8014952076 |
| Mailing Telephone | 8014950946 |
| Mailing Fax Number | 8014952076 |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2010-10-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
13073 WHEATFIELD WAY |
| City | DRAPER |
| State | UT |
| Zip Code | 84020-9253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730409517 | Taunya Lyn Wilson | Residential Treatment Facility, Emotionally Disturbed Children | 13073 Wheatfield Way, Draper, UT 84020-9253 | 2010-06-03 |
| 1679866511 | Michael Peterson | Community Health Worker | 13073 Wheatfield Way, Draper, UT 84020-9253 | 2011-05-25 |
| 1588954093 | Melissa Nielsen | Psychologist | 13073 Wheatfield Way, Draper, UT 84020-9253 | 2011-04-18 |
| 1477863215 | Michael Anderson | Counselor | 13073 Wheatfield Way, Draper, UT 84020-9253 | 2010-10-14 |
| 1447560271 | Ashley Forsythe | Counselor | 13073 Wheatfield Way, Draper, UT 84020-9253 | 2010-10-14 |
| 1225348063 | Jen Nichols | Counselor | 13073 Wheatfield Way, Draper, UT 84020-9253 | 2010-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322776 | Chase Larsen Dmd Pllc | Dentist | 723 E 12200 S, Draper, UT 84020 | 2020-10-06 |
| 1780222380 | Derek Cragun | Counselor | 11706 700 E, Draper, UT 84020 | 2019-12-13 |
| 1720629371 | Own My Health Medical | Clinic/Center | 12371 900 E, Suite 102, Draper, UT 84020 | 2019-10-04 |
| 1508418856 | Thomas Mifflin | Physician Assistant | 721 East 12200 South, Draper, UT 84020 | 2019-07-16 |
| 1124670872 | Necia Dalley | Registered Nurse | 11800 S State St, Draper, UT 84020 | 2019-07-12 |
| 1285100784 | Tracey M Williams | Psychologist | 13200 S 1601 E, Draper, UT 84020 | 2018-10-23 |
| 1275008328 | Amoni Paeahelotu Finau | Community Health Worker | 13703 Wheatfield Way, Draper, UT 84020 | 2018-10-04 |
| 1891275525 | Cynthia Mae Bolton | Psychologist | 1192 E Draper Parkway # 447, Draper, UT 84020 | 2018-08-21 |
| 1164908026 | Headin' Home Inc. | Community/Behavioral Health | 12300 S. 150 W., Draper, UT 84020 | 2018-07-13 |
| 1366932576 | Forest Hulet | Dentist | 219 E 12300, Ste I-5, Draper, UT 84020 | 2018-05-14 |
| Find all providers in zip 84020 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316565195 | Dennis Vibert Woodruff | Counselor | 11576 S State St Ste 303, Draper, UT 84020-7112 | 2020-07-08 |
| 1629693122 | Jared Blaine Twitchell | Counselor | 12397 S 300 E Ste 100, Draper, UT 84020-8274 | 2020-06-10 |
| 1063035152 | Holly Joy Nelson | Counselor | 11894 S Landou Dr, Draper, UT 84020-6805 | 2020-05-22 |
| 1780222380 | Derek Cragun | Counselor | 11706 700 E, Draper, UT 84020 | 2019-12-13 |
| 1255978607 | Brian Lewis | Counselor | 138 E 12300 S Ste C188, Draper, UT 84020-7976 | 2019-12-04 |
| 1235771411 | David Zane | Counselor | 13268 S Aintree Ave, Draper, UT 84020-8831 | 2019-10-09 |
| 1750936605 | Aleksandra Sinclair | Counselor | 2046 E Eagle Crest Dr, Draper, UT 84020-5705 | 2019-08-07 |
| 1720438005 | Steve Merrin | Counselor | 12548 S 150 E, Draper, UT 84020-8611 | 2016-06-16 |
| 1801207477 | Advantage Counseling Services | Counselor | 11587 S State Street, 1001, Draper, UT 84020 | 2014-05-16 |
| 1922437177 | Jeff Horton | Counselor | 11576 S State St Ste 102a, Draper, UT 84020-7121 | 2013-11-08 |
| Find all providers in DRAPER | ||||
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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.