AMBER ASTLE (NPI# 1700403995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700403995 |
| Entity Type | Individual |
| Full Name | AMBER ASTLE |
| Practice Address |
782 Canterbury Ln Alpine UT 84004-1255 |
| Practice Telephone | 8018668802 |
| Mailing Telephone | 8018668802 |
| Enumeration Date | 2020-07-03 |
| Last Update Date | 2020-09-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 11940162-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
782 CANTERBURY LN |
| City | ALPINE |
| State | UT |
| Zip Code | 84004-1255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003148404 | Virgil Jon Parker | Internal Medicine | 646 W 600 N, Alpine, UT 84004 | 2010-02-10 |
| 1245302751 | Garon E Larsen | Dentist | 70 West Canyon Crest Road, Alpine, UT 84004 | 2006-11-14 |
| 1093801151 | Mitchell D Albrecht | Anesthesiology | 1034 N 500 W, Provo, UT 84004 | 2006-10-05 |
| 1790187847 | Stephanie Gross | Acupuncturist | 1034 Moyle Dr, Alpine, UT 84004-1206 | 2014-09-19 |
| 1639341829 | Michael D Rosvall | Dentist | 578 Grove Cir, Alpine, UT 84004-1210 | 2008-03-27 |
| 1669794806 | Vernon C. Utley | Social Worker | 646 N 610 E, Alpine, UT 84004-1220 | 2010-02-15 |
| 1568792760 | David Lawrence Scott | Pediatrics | 424 Aspen Ridge Ln, Alpine, UT 84004-1223 | 2010-01-11 |
| 1528452125 | James H Cloyd, Phd, LLC | Psychologist | 758 Canterbury Ln, Alpine, UT 84004-1255 | 2015-03-23 |
| 1407405384 | Felicity Kaden Mills | Behavior Technician | 587 Hillside Dr, Alpine, UT 84004-1355 | 2019-09-04 |
| 1295174241 | Beehive Home Care | In Home Supportive Care | 256 N Main St, Alpine, UT 84004-1476 | 2013-06-21 |
| Find all providers in zip 84004 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942493630 | Hadden F Goodman | Physician Assistant | 23 Elkrun Hwy 89, Alpine, WY 83128 | 2007-08-25 |
| 1033735329 | Oana Grigoras | Physician Assistant | 1730 Alpine Blvd Ste 205, Alpine, CA 91901-3878 | 2020-06-22 |
| 1861961369 | Emily Andrew | Physician Assistant | 1730 Alpine Blvd, Alpine, CA 91901-3876 | 2018-11-14 |
| 1205377306 | Jordan Jones | Physician Assistant | 4058 Willows Rd, Alpine, CA 91901-1668 | 2017-03-09 |
| 1649604638 | Heather Leishman | Physician Assistant | 155 W Canyon Crest Rd, Suite 200, Alpine, UT 84004-1819 | 2013-08-26 |
| 1417135336 | Richard Dale Weihert | Physician Assistant | 4058 Willows Rd, Alpine, CA 91901-1668 | 2008-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556986 | Brittany Tran | Physician Assistant | 2733 W Redwick Ct, Salt Lake City, UT 84129-5901 | 2020-10-25 |
| 1164020830 | Abbey Coburn | Physician Assistant | 6028 S Ridgeline Dr Ste 200, Ogden, UT 84405-6906 | 2020-10-14 |
| 1528674975 | James Christopher Nichols | Physician Assistant | 1746 E 2100 S, Salt Lake City, UT 84106-4165 | 2020-09-21 |
| 1164049201 | Makenzie Bishop | Physician Assistant | 1077 S 810 E, Provo, UT 84606-6390 | 2020-07-05 |
| 1306462304 | Carson Homer | Physician Assistant | 1715 S 40 W, Orem, UT 84058-8409 | 2020-06-25 |
| 1518583566 | Alexanders Fitness Company LLC | Physician Assistant | 245 S 1060 W, Lindon, UT 84042-1606 | 2020-06-24 |
| 1144844218 | Rebecca E Escoto | Physician Assistant | 3064 Creek Rd, Park City, UT 84098-4843 | 2020-06-03 |
| 1841826971 | David Souza | Physician Assistant | 52 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-03-20 |
| 1134751902 | Jacie Anna Mundahl | Physician Assistant | 8th Ave C St E 80, Salt Lake City, UT 84143-0001 | 2020-02-10 |
| 1336770544 | Kelsey Rae Thompson | Physician Assistant | 3809 S Parkview Dr, Salt Lake City, UT 84124-2322 | 2020-01-28 |
| 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.