ALLEN DEAN BLOODWORTH (NPI# 1669990842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669990842 |
| Entity Type | Individual |
| Full Name | ALLEN DEAN BLOODWORTH |
| Practice Address |
474 W 200 N Saint George UT 84770-4505 |
| Practice Telephone | (435) 634-5600 |
| Practice Fax Number | 4359868700 |
| Mailing Telephone | 4356345600 |
| Mailing Fax Number | 4359868700 |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2017-09-07 |
| 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 |
474 W 200 N |
| City | SAINT GEORGE |
| State | UT |
| Zip Code | 84770-4505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740839406 | Michael Beacco | Social Worker | 474 W 200 N, Saint George, UT 84770-4505 | 2019-09-05 |
| 1013474626 | Paige Chantell Stevenson | Technician, Other | 474 W 200 N, Saint George, UT 84770-4505 | 2019-03-01 |
| 1205393816 | Derick Wood Drake | Technician, Other | 474 W 200 N, Saint George, UT 84770-4505 | 2019-03-01 |
| 1184119620 | Larishalee Tiatia | Technician, Other | 474 W 200 N, Saint George, UT 84770-4505 | 2018-06-27 |
| 1093208159 | Kjirsten Strong | Social Worker | 474 W 200 N, Saint George, UT 84770-4505 | 2018-06-12 |
| 1710487152 | Brianna Crouch | Behavior Technician | 474 W 200 N, Saint George, UT 84770-4505 | 2018-02-12 |
| 1124533716 | Alicia Pasi Andresen | Case Manager/Care Coordinator | 474 W 200 N, Saint George, UT 84770-4505 | 2017-12-05 |
| 1659884070 | Brian Carl Kunde | Case Manager/Care Coordinator | 474 W 200 N, Saint George, UT 84770-4505 | 2017-11-07 |
| 1912434598 | Peter Scott Seegrist | Case Manager/Care Coordinator | 474 W 200 N, Saint George, UT 84770-4505 | 2017-05-15 |
| 1912442476 | Benjamin Andresen | Case Manager/Care Coordinator | 474 W 200 N, Saint George, UT 84770-4505 | 2016-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808500 | Redstone Reference Laboratories Inc | Clinical Medical Laboratory | 556 N Dixie Drive, Suite 2, St George, UT 84770 | 2020-07-08 |
| 1033776315 | Ecko Ashmore | Marriage & Family Therapist | 1173 S. 250 W. Bld 1 Ste 208, St. George, UT 84770 | 2019-05-22 |
| 1740844679 | Amy Darragh | Behavior Technician | 249 E Tabernacle St, Ste 100, St George, UT 84770 | 2019-04-25 |
| 1124598198 | Loren Kyle Gulbranson | Internal Medicine | Dixie Regional Medical Center, 515 South, 300 East, Saint George, UT 84770 | 2018-12-03 |
| 1487150728 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 640 East 700 South Building 2, St. George, UT 84770 | 2018-04-04 |
| 1588162911 | Desert Edge Medical | Family Medicine | 1664 S Dixie Dr Ste D201, St George, UT 84770 | 2018-01-31 |
| 1568981314 | Jeffrey Joseph Peterson | Behavior Technician | 162 N 400 E Ste A-105, St. George, UT 84770 | 2017-09-13 |
| 1992242549 | Zachary Carey | Specialist/Technologist | 1115 W Diamond Valley Dr, Saint George, UT 84770 | 2017-01-20 |
| 1669920427 | Charles Taylor Church | Technician, Other | 474 West 200 East, St. George, UT 84770 | 2016-09-21 |
| 1952755480 | Hollystic Hideaway | Voluntary or Charitable | 1418 W Sunset Blvd. # 2, Saint George, UT 84770 | 2016-04-21 |
| Find all providers in zip 84770 | ||||
| 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 |
|---|---|---|---|---|
| 1831734508 | Ashley V Bowers | Case Manager/Care Coordinator | 1450 N Dixie Downs Rd Trlr 57, Saint George, UT 84770-4171 | 2019-11-16 |
| 1124533716 | Alicia Pasi Andresen | Case Manager/Care Coordinator | 474 W 200 N, Saint George, UT 84770-4505 | 2017-12-05 |
| 1659884070 | Brian Carl Kunde | Case Manager/Care Coordinator | 474 W 200 N, Saint George, UT 84770-4505 | 2017-11-07 |
| 1912434598 | Peter Scott Seegrist | Case Manager/Care Coordinator | 474 W 200 N, Saint George, UT 84770-4505 | 2017-05-15 |
| 1912442476 | Benjamin Andresen | Case Manager/Care Coordinator | 474 W 200 N, Saint George, UT 84770-4505 | 2016-12-19 |
| 1912253931 | Brook Blood Triplett | Case Manager/Care Coordinator | 474 W 200 N, Saint George, UT 84770-4505 | 2012-07-27 |
| 1073875647 | Brett Bleazard | Case Manager/Care Coordinator | 216 W Saint George Blvd, Suite I, Saint George, UT 84770-1308 | 2012-06-11 |
| 1669610630 | John Scott Pugh | Case Manager/Care Coordinator | 474 W 200 N, Saint George, UT 84770-4505 | 2009-01-29 |
| 1003051616 | Michael Jesse Eves | Case Manager/Care Coordinator | 474 W 200 N, Saint George, UT 84770-4505 | 2008-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898111 | Alexis Charrissma Piccolo-lamberg | Case Manager/Care Coordinator | 1421 E Murphys Ln, Millcreek, UT 84106-2992 | 2020-10-09 |
| 1689281818 | Devery White | Case Manager/Care Coordinator | 195 N 1900 W, Salt Lake City, UT 84116 | 2020-10-01 |
| 1245847334 | Antonio Lumbreras-pimentel | Case Manager/Care Coordinator | 4863 W Seneca Rd, West Valley City, UT 84120-3625 | 2020-09-23 |
| 1316551336 | Mary Ann Rush | Case Manager/Care Coordinator | 334 E. 100 S., Slc, UT 84111 | 2020-09-08 |
| 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 |
| 1386254316 | Andrew Soliz II | Case Manager/Care Coordinator | 48 N Shields Lane, Moab, UT 84532 | 2020-08-04 |
| 1386264802 | Mckensee M Carter | Case Manager/Care Coordinator | 334 E 100 S, Salt Lake City, UT 84111 | 2020-04-24 |
| 1215563341 | Roxanne Aloni Love | Case Manager/Care Coordinator | 2875 N Hill Field Rd Trlr 65, Layton, UT 84041-1358 | 2020-03-20 |
| 1699300079 | Kayleigh Maxfield | Case Manager/Care Coordinator | 77 S. 600 E., Price, UT 84501 | 2020-03-06 |
| Find all providers with the same taxonomy | ||||
| City | SAINT GEORGE |
| Zip Code | 84770 |
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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.