MRS. KRISTEN COURTNEY (NPI# 1689058117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689058117 |
| Entity Type | Individual |
| Full Name | MRS. KRISTEN COURTNEY |
| Practice Address |
697 W 4170 S Murray UT 84123-1326 |
| Practice Telephone | 8015872460 |
| Practice Fax Number | 8012815787 |
| Mailing Telephone | 8015872460 |
| Mailing Fax Number | 8012815787 |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2015-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | UT | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518596428 | Kristen Ann Courtney | Student in an Organized Health Care Education/Training Program | 2301 Holmes St, Kansas City, MO 64108-2677 | 2020-04-02 |
| 1447732615 | Kristen Courtney | Psychologist | 411 W 114th St, New York, NY 10025-1710 | 2018-09-04 |
| Street Address |
697 W 4170 S |
| City | MURRAY |
| State | UT |
| Zip Code | 84123-1326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710597992 | Dianna Sivels | Community Health Worker | 697 W 4170 S, Murray, UT 84123-1326 | 2020-08-03 |
| 1275143448 | Alma Mancera | Community Health Worker | 697 W 4170 S, Murray, UT 84123-1326 | 2020-08-03 |
| 1235750589 | Aleya Marie Mason | Community Health Worker | 697 W 4170 S, Murray, UT 84123-1326 | 2020-04-28 |
| 1881214575 | Sierra Holmes | Community Health Worker | 697 W 4170 S, Murray, UT 84123-1326 | 2020-04-22 |
| 1609408582 | Jessica Wade | Community Health Worker | 697 W 4170 S, Murray, UT 84123-1326 | 2020-02-07 |
| 1013549997 | Sakina Wilson | Community Health Worker | 697 W 4170 S, Murray, UT 84123-1326 | 2020-02-07 |
| 1730711615 | Sierra Barrickman | Community Health Worker | 697 W 4170 S, Murray, UT 84123-1326 | 2020-02-07 |
| 1396377370 | Dana Schankman | Community Health Worker | 697 W 4170 S, Murray, UT 84123-1326 | 2020-02-07 |
| 1346872223 | Samantha Jones | Community Health Worker | 697 W 4170 S, Murray, UT 84123-1326 | 2020-02-07 |
| 1043861958 | Katelynne Rose Halliday | Community Health Worker | 697 W 4170 S, Murray, UT 84123-1326 | 2019-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186837 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5792 South Redwood Road, Taylorsville, UT 84123 | 2020-08-27 |
| 1164040614 | Mark E Hutchinson | Counselor | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
| 1396259321 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4082 South Redwood Road, West Valley Road, UT 84123 | 2017-11-29 |
| 1083131890 | Kelli Mcstotts | Counselor | 5689 S. Redwood Road, Taylorsville, UT 84123 | 2017-08-23 |
| 1740706571 | Laura B Ellsworth | Case Manager/Care Coordinator | 5667 So. Redwood Road, 6b, Salt Lake City, UT 84123 | 2017-08-14 |
| 1790214120 | Integrated Autism Therapies | Behavioral Analyst | 5984 S. Susquehanna, Murray, UT 84123 | 2017-06-08 |
| 1083163885 | Michael John Flint | Counselor | 5861 South Redwood Road, #24, Taylorsville, UT 84123 | 2016-09-22 |
| 1548716236 | Andres Ramos | Licensed Psychiatric Technician | 697 West 4170 South, Murray, UT 84123 | 2016-09-01 |
| 1467807040 | Sheryl R Schindler | Counselor | 5770 South 1550 West, Bldg G, Primary Children's Counseling Center, Taylorsville, UT 84123 | 2016-05-02 |
| 1730562141 | Megan Merica Snarr | Dentist | 597 West 5300 South, Murray, UT 84123 | 2015-07-02 |
| Find all providers in zip 84123 | ||||
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548716236 | Andres Ramos | Licensed Psychiatric Technician | 697 West 4170 South, Murray, UT 84123 | 2016-09-01 |
| 1932632460 | Adelle Price | Licensed Psychiatric Technician | 697 W 4170 S, Murray, UT 84123-1326 | 2017-04-11 |
| 1356796825 | Lisa Dawn Eastman | Licensed Psychiatric Technician | 697 W 4170 S, Murray, UT 84123-1326 | 2016-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245584952 | Nicholas Shifrar | Licensed Psychiatric Technician | 620 S 1300 E, Salt Lake City, UT 84102-3207 | 2012-11-02 |
| 1316288582 | Maxine E Mickelsen | Licensed Psychiatric Technician | 252 S 500 E, Salt Lake City, UT 84102-2030 | 2013-03-12 |
| 1104172048 | Thomas Pruitt | Licensed Psychiatric Technician | 501 E Chipeta Way, Salt Lake City, UT 84108-1222 | 2012-07-30 |
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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.