AMBRI CORLETT CUNNINGHAM (NPI# 1760916837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760916837 |
| Entity Type | Individual |
| Full Name | AMBRI CORLETT CUNNINGHAM |
| Credential | ATC |
| Practice Address |
762 E 800 N Genola UT 84655-5056 |
| Practice Telephone | 8019950422 |
| Mailing Telephone | 8019950422 |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2017-04-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 405300000X | Prevention Professional | BOC268718 | UT | Other Service Providers |
| Street Address |
762 E 800 N |
| City | GENOLA |
| State | UT |
| Zip Code | 84655-5056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386257764 | Katie Lee Higgs | Marriage & Family Therapist | 1172 E State, W 100 N Suite 10, Payson, UTAH, UNITED STATES 84655 | 2020-08-26 |
| 1023637675 | Santaquin Market, Inc. | Pharmacy | 110 N. 400 E., Santaquin, UT 84655 | 2020-04-14 |
| 1215285929 | Seasons of Santaquin Assisted Living & Memory Care | Assisted Living Facility | 785 East 150 South, Santaquin, UT 84655 | 2012-08-28 |
| 1679685432 | Bradley D Horrocks | Physical Therapist | 340 East Main St, Suite #4, Santaquin, UT 84655 | 2006-08-31 |
| 1043280555 | Kenyon B Anderson | Optometrist | 252 W Main St Ste C, Santaquin, UT 84655 | 2006-01-25 |
| 1164580890 | Canyon View Medical Group LLC | Family Medicine | 94 W Main St, Santaquin, UT 84655 | 2006-12-05 |
| 1205108487 | Lara Howard | Case Manager/Care Coordinator | 624 N 500 W, Santaquin, UT 84655-5021 | 2012-02-02 |
| 1669084661 | Adrianne Mason | Counselor | 1580 N Hillside Dr, Genola, UT 84655-5066 | 2020-08-20 |
| 1164984456 | Gonzales Lcsw LLC | Social Worker | 61 E 1600 N, Genola, UT 84655-5090 | 2019-04-04 |
| 1407464886 | Wasatch Front Trail Venture | Social Worker | 61 E 1600 N, Genola, UT 84655-5090 | 2020-07-21 |
| Find all providers in zip 84655 | ||||
| Taxonomy Code | 405300000X |
| Grouping | Other Service Providers |
| Classification | Prevention Professional |
| Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023549268 | Jamie Kingdon | Prevention Professional | 652 Eaglepointe Dr, North Salt Lake, UT 84054-2643 | 2017-03-21 |
| 1124685599 | Malea Ann Perez | Prevention Professional | 474 W 200 N, St George, UT 84770-4505 | 2019-05-21 |
| 1114446168 | Cancer Survivor Health Network | Prevention Professional | 4624 S Holladay Blvd, Holladay, UT 84117-7054 | 2017-09-11 |
| 1841721115 | Crystal Yazzie | Prevention Professional | 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 | 2017-03-27 |
Please comment or provide details below to improve the information on AMBRI CORLETT CUNNINGHAM.
| 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.