ASHLEY VALLEY PHYSICIAN PRACTICE, LLC (NPI# 1689008773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689008773 |
| Entity Type | Organization |
| Organization Name | ASHLEY VALLEY PHYSICIAN PRACTICE, LLC |
| Other Organization Name | WORKPOINT ASHLEY VALLEY |
| Practice Address |
1680 W Highway 40 Ste 202 Vernal UT 84078 |
| Mailing Address |
330 Seven Springs Way Brentwood TN 37027-5098 |
| Practice Telephone | 4357813053 |
| Practice Fax Number | 4357813055 |
| Mailing Telephone | 6159207000 |
| Mailing Fax Number | 6159208775 |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2020-09-04 |
| Authorized Official Name | KATHY TEAGUE (ASSISTANT VICE PRESIDENT, SECRETARY) |
| Authorized Official Telephone | 6159207000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 363LX0106X |
Nurse Practitioner Specialization: Occupational Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| WorkPoint Ashley Valley | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518247709 | Ashley Valley Physician Practice, LLC | Family Medicine | 409 S 200 E, Roosevelt, UT 84066-3314 | 2011-08-19 |
| 1740482025 | Ashley Valley Physician Practice, LLC | Family Medicine | 175 N. 100 W., Suite 202, Vernal, UT 84078 | 2007-05-31 |
| 1952631400 | Ashley Valley Physician Practice, LLC | Internal Medicine | 150 W 100 N, Vernal, UT 84078-2036 | 2010-01-06 |
| 1790010619 | Ashley Valley Physician Practice, LLC | Surgery | 150 W 100 N, Suite 102s, Vernal, UT 84078-2036 | 2009-10-09 |
| 1740423367 | Ashley Valley Physician Practice, LLC | Urology | 150 W 100 N, Vernal, UT 84078-2036 | 2009-04-13 |
| Street Address |
1680 W HIGHWAY 40 STE 202 |
| City | VERNAL |
| State | UT |
| Zip Code | 84078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205479748 | Wade Oliver Moulton | Pharmacist | 1080 W Hwy 40, Vernal, UT 84078 | 2019-10-28 |
| 1841610383 | Allegiance Addiction Recovery Center | Substance Abuse Rehabilitation Facility | 4430 N Little Valley Road, Vernal, UT 84078 | 2014-04-23 |
| 1528371796 | Terry L Smith | Counselor | 1140 W 500 S #9, Vernal, UT 84078 | 2010-07-16 |
| 1619280880 | Cicile M Rios | Counselor | 1140 W 800 S #9, Vernal, UT 84078 | 2010-07-16 |
| 1265754840 | Marjorie Elaine Gardner | Licensed Practical Nurse | 133 S 500 East, Vernal, UT 84078 | 2010-02-23 |
| 1528205853 | Robert Kirkham Jolley | Dentist | 40 West 100 North, Vernal, UT 84078 | 2009-01-08 |
| 1740482025 | Ashley Valley Physician Practice, LLC | Family Medicine | 175 N. 100 W., Suite 202, Vernal, UT 84078 | 2007-05-31 |
| 1265646459 | Ashley Valley Medical Center | Pharmacy | 151 W. 200 N., Vernal, UT 84078 | 2007-05-09 |
| 1629122692 | Brian Prentice Callahan | Dentist | 779 West Us Highway 40, Vernal, UT 84078 | 2007-01-23 |
| 1851472658 | R K Jolley Dds PC | Dentist | 400 West 100 North, Vernal, UT 84078 | 2006-10-18 |
| Find all providers in zip 84078 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013346634 | Alec Higgins Rimmasch Jr. | Nurse Practitioner | 175 N 100 W Ste 104, Vernal, UT 84078-2054 | 2013-11-04 |
| 1710311279 | Eric Reynolds | Nurse Practitioner | 1680 W Highway 40 Ste 201, Vernal, UT 84078-4135 | 2013-09-02 |
| 1972872158 | Terie Morris | Nurse Practitioner | 35 N 100 W, Vernal, UT 84078-2011 | 2011-12-18 |
| 1598991275 | Amy Olsen | Nurse Practitioner | 379 N 500 W Ste 1a, Vernal, UT 84078-1956 | 2009-06-08 |
| 1740373125 | Laura Lynn Mahler | Nurse Practitioner | 266 W 100 N, Suite 6, Vernal, UT 84078-2012 | 2006-09-30 |
| 1265720205 | Sarah Jane Woody | Nurse Practitioner | 379 N 500 W Ste 1a, Vernal, UT 84078-1956 | 2011-07-12 |
| 1912234402 | Torilynn Price | Nurse Practitioner | 379 N 500 W Ste 1a, Vernal, UT 84078-1956 | 2009-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204590 | Gabrielle Sleater Lewis | Nurse Practitioner | 2905 S Mcclelland St, Salt Lake City, UT 84106-2125 | 2020-11-01 |
| 1164021721 | Mistie Sue Manning | Nurse Practitioner | 1551 Renaissance Towne Dr Ste 370, Bountiful, UT 84010-7675 | 2020-10-23 |
| 1023617404 | Michaelle Lei Spears | Nurse Practitioner | 922 W Baxter Dr, South Jordan, UT 84095-8613 | 2020-10-18 |
| 1649878935 | Kecia Kristine Chandler | Nurse Practitioner | 285 N Main St Unit 692, Kaysville, UT 84037-6027 | 2020-10-09 |
| 1386251742 | Jennifer Lynn Castillo | Nurse Practitioner | 280 S 9500 E, Huntsville, UT 84317-9766 | 2020-09-29 |
| 1174130629 | Jessica Noel Wagner | Nurse Practitioner | 12828 S 3600 W Ste 101, Riverton, UT 84065-6853 | 2020-09-29 |
| 1962019596 | Freya Kristen Landesman | Nurse Practitioner | 60 E South Temple Ste 300, Salt Lake City, UT 84111-1041 | 2020-09-28 |
| 1750998860 | Jeremy Llewellyn | Nurse Practitioner | 395 W Cougar Blvd Fl 5, Provo, UT 84604-3323 | 2020-09-24 |
| 1356957781 | Holly Lovell | Nurse Practitioner | 56 S 1030 E, Santaquin, UT 84655-5698 | 2020-09-21 |
| 1861005688 | Cara Susan Jones Ahlstrom | Nurse Practitioner | 81 N Havenwood Dr, Kaysville, UT 84037-6881 | 2020-08-31 |
| Find all providers with the same taxonomy | ||||
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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.