HEIDI ALENE WARR (NPI# 1689165235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689165235 |
| Entity Type | Individual |
| Full Name | HEIDI ALENE WARR |
| Practice Address |
100 S 1000 W Tooele UT 84074-4010 |
| Mailing Address |
4460 S. Highland Dr Salt Lake City UT 84124-3503 |
| Practice Telephone | 4358433520 |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2018-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | UT | Other Service Providers |
| Street Address |
100 S 1000 W |
| City | TOOELE |
| State | UT |
| Zip Code | 84074-4010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366426132 | Lawrance Helen Mcclung | Social Worker | 100 S 1000 W, Tooele, UT 84074-4010 | 2005-12-05 |
| 1639647613 | Helen Marie Fontecchio | Community Health Worker | 100 S 1000 W, Tooele, UT 84074-4010 | 2018-11-07 |
| 1083182224 | Angela Brown | Community Health Worker | 100 S 1000 W, Tooele, UT 84074-4010 | 2018-11-06 |
| 1104394352 | Kelly Marie Monteleone | Community Health Worker | 100 S 1000 W, Tooele, UT 84074-4010 | 2018-11-06 |
| 1861967556 | Kaitlyn Lorraine Higley | Community Health Worker | 100 S 1000 W, Tooele, UT 84074-4010 | 2018-10-09 |
| 1811472962 | Raphael Corley | Social Worker | 100 S 1000 W, Tooele, UT 84074-4010 | 2018-09-25 |
| 1013491844 | Steven Earl Barney | Community Health Worker | 100 S 1000 W, Tooele, UT 84074-4010 | 2018-09-18 |
| 1982187415 | Jamie Bird | Community Health Worker | 100 S 1000 W, Tooele, UT 84074-4010 | 2018-09-11 |
| 1215416722 | Michele Grace Richards | Behavior Technician | 100 S 1000 W, Tooele, UT 84074-4010 | 2018-08-07 |
| 1528550522 | Beau William Johnson | Community Health Worker | 100 S 1000 W, Tooele, UT 84074-4010 | 2018-06-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689233397 | Leah Elizabeth Harper I | Behavior Technician | 39 Millpond Stansbury Park, Tooele, UT 84074 | 2019-06-07 |
| 1245710789 | Tanna Marie Shelley | Community Health Worker | 27 So Main St, Tooele, UT 84074 | 2018-08-15 |
| 1528548062 | Barbara T Cederlof | Community Health Worker | 27 South Main St., Tooele, UT 84074 | 2018-08-15 |
| 1235615600 | Ashley Christine Wilson | Case Manager/Care Coordinator | 27 South Main, Tooele, UT 84074 | 2018-07-18 |
| 1174016976 | Makenzie Green | Case Manager/Care Coordinator | 27 S Main, Tooele, UT 84074 | 2018-06-07 |
| 1386151835 | Monica Lee | Physical Therapist | 6727 Ut-36 #300, Stansbury Park, UT 84074 | 2018-01-05 |
| 1871976183 | Pagnani Physical Therapy | Physical Therapist | 6727 North State Hwy 36, Suite 300, Stansbury Park, UT 84074 | 2015-07-06 |
| 1407248222 | Pebble Creek Counseling Center | Counselor | 494 E 2400 N Ste B, Tooele, UT 84074 | 2015-03-03 |
| 1528496221 | Emily Carlson | Case Manager/Care Coordinator | 220 North Millpond Rd, Suite 100, Stansbury Park, UT 84074 | 2013-10-16 |
| 1710327218 | Angela Michelle Demoss | Nurse Practitioner | 682 Country Club, Stansbury Park, UT 84074 | 2013-06-28 |
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| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972139921 | Ryan Egger | Peer Specialist | 1929 N Aaron Dr Ste 1, Tooele, UT 84074-8112 | 2020-03-20 |
| 1699301648 | Peter Browne | Peer Specialist | 1929 N Aaron Dr Ste 1, Tooele, UT 84074-8112 | 2020-03-20 |
| 1851939946 | Adakai Talker | Peer Specialist | 1929 N Aaron Dr Ste 1, Tooele, UT 84074-8112 | 2019-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043819600 | Devin J Morrison | Peer Specialist | 230 W 200 S Unit 142, Salt Lake City, UT 84110-6006 | 2020-10-23 |
| 1104423532 | Chante Colvin | Peer Specialist | 3638 Sugar Leo Rd, St George, UT 84790-7452 | 2020-10-08 |
| 1518579077 | Henry Matthews | Peer Specialist | 474 N Grant St, Salt Lake City, UT 84116-2726 | 2020-08-17 |
| 1508497892 | Jamie Len Griffin | Peer Specialist | 256 W 100 S, Logan, UT 84321-5231 | 2020-01-27 |
| 1295370013 | Amber Chandler | Peer Specialist | 15257 S Scenic Crest Cir, Bluffdale, UT 84065-5076 | 2019-11-15 |
| 1780232272 | Billie Jo Burnett | Peer Specialist | 1429 N 1200 W, Orem, UT 84057-2449 | 2019-08-28 |
| 1669025227 | Ryan Ballard | Peer Specialist | 589 E 8680 S, Sandy, UT 84070-1779 | 2019-07-22 |
| 1134780042 | Michael James Olsen | Peer Specialist | 344 E 100 S Ste 301300, Salt Lake City, UT 84111-1700 | 2019-06-23 |
| 1659836393 | Brittney Emi Vaovasa | Peer Specialist | 252 W Brooklyn Ave, Salt Lake City, UT 84101-3024 | 2019-02-06 |
| 1699278366 | John Carlos Gonzales | Peer Specialist | 7873 S Chadbourne Dr, Cottonwood Heights, UT 84121-5806 | 2018-03-08 |
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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.