ELIZABETH KATHLEEN VERNON (NPI# 1831678416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831678416 |
| Entity Type | Individual |
| Full Name | ELIZABETH KATHLEEN VERNON |
| Practice Address |
415 Medical Dr Ste D101 Bountiful UT 84010-8905 |
| Practice Telephone | 8016831062 |
| Practice Fax Number | 8012955537 |
| Mailing Telephone | 8016831062 |
| Mailing Fax Number | 8012955537 |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2018-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 327 W Gordon Ave Ste 2, Layton, UT 840412381 | 8016831062 | 8012955537 |
| 370 E South Temple Ste 175, Salt Lake City, UT 841111241 | 8016831062 | 8012955537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184146037 | Elizabeth Vernon | Nurse Practitioner | 126 Washer Drive, La Vergne, TN 37086 | 2017-07-12 |
| 1427544071 | Elizabeth Chebra Vernon | Physical Therapist | 2051 Marengo St, Los Angeles, CA 90033-1352 | 2018-07-06 |
| 1750661609 | Elizabeth Vernon | Social Worker | 1100 Nw 14th St, Oklahoma City, OK 73106-4450 | 2011-08-24 |
| Street Address |
415 MEDICAL DR STE D101 |
| City | BOUNTIFUL |
| State | UT |
| Zip Code | 84010-8905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942260401 | Breanna R Nelson | Speech-Language Pathologist | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2006-03-27 |
| 1114525862 | Candace Ann Abbott | Behavior Technician | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2020-10-14 |
| 1083212930 | Breannen Cohen | Behavior Technician | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2020-10-13 |
| 1376140798 | Laura Alicia Lucky | Counselor | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2020-10-08 |
| 1639776693 | Taeko Michelle Colbert | Behavior Technician | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2020-10-02 |
| 1699382887 | Anna L Straup | Behavior Technician | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2020-09-30 |
| 1851903983 | Elaina M Grotepas | Behavior Technician | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2020-08-19 |
| 1104437110 | Eden Deanne Steffey | Psychologist | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2020-08-12 |
| 1891303111 | Molly Murphy Dwyer | Behavioral Analyst | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2020-07-22 |
| 1972127728 | Benjamin Larsen | Behavior Technician | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2020-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225699192 | Jessyca K Willie | Behavior Technician | 415 S. Medical Drive Suite D101, Bountiful, UT 84010 | 2019-06-21 |
| 1336634344 | Shanna Joy Jaggers | Social Worker | 2333 S 200 E, Bountiful, UT 84010 | 2018-06-22 |
| 1447773171 | Live Life Alarms | Emergency Response System Companies | 640 South 500 West, Bountiful, UT 84010 | 2017-07-25 |
| 1902328842 | Hailey Embley | Behavior Technician | 415 Medical Drive D 101, Bountiful, UT 84010 | 2017-07-12 |
| 1508318031 | Beverly Nielsen | Psychologist | 1001 Lakeview Drive, Bountiful, UT 84010 | 2016-11-01 |
| 1295287720 | Samantha Oslund | Speech-Language Pathologist | 415 Medical Dr Ste B102, Bountiful, UT 84010 | 2016-11-01 |
| 1750748273 | Jeremy Clark Morris | Dentist | 59 W 1600 N, Suite 110, Bountiful, UT 84010 | 2016-01-28 |
| 1629464706 | Shane James | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010 | 2015-04-15 |
| 1891186102 | Kenton Francis | Social Worker | 1355 North Main Street #1, Bountiful, UT 84010 | 2015-02-09 |
| 1205233855 | Modern Dental Professionals - Utah, PC | Dentist | 24 S. 500 West, #a, Bountiful, UT 84010 | 2014-11-25 |
| Find all providers in zip 84010 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754490 | Mckenzie Simpson | Student in an Organized Health Care Education/Training Program | 4117 South Hidden Ridge Circle, Bountiful, UT 84010-8401 | 2020-06-13 |
| 1598394785 | Corbin Metcalf | Student in an Organized Health Care Education/Training Program | 1324 E Millbrook Way, Bountiful, UT 84010-1526 | 2020-04-08 |
| 1538711882 | Vanina Judith Gwilliam | Student in an Organized Health Care Education/Training Program | 137 E 470 N, Bountiful, UT 84010-6022 | 2019-07-16 |
| 1487151874 | Nathan Douglas Kramer | Student in an Organized Health Care Education/Training Program | 1459 N Main St # 100, Bountiful, UT 84010-6092 | 2018-04-11 |
| 1053858654 | Michelle Lee Teachout | Student in an Organized Health Care Education/Training Program | 2957 S 400 W, Bountiful, UT 84010-7810 | 2017-01-21 |
| 1326446725 | Melissa Harris | Student in an Organized Health Care Education/Training Program | 313 E 1450 N, Apt 158, Bountiful, UT 84010-4567 | 2014-12-17 |
| 1760895114 | Moeunsarama Meas | Student in an Organized Health Care Education/Training Program | 392 W 400 N, Apt B, Bountiful, UT 84010-6966 | 2014-06-03 |
| 1285068064 | Kate Hoskins | Student in an Organized Health Care Education/Training Program | 3728 Monarch Dr, Bountiful, UT 84010-8016 | 2013-08-28 |
| 1851874895 | Seth Seifert | Student in an Organized Health Care Education/Training Program | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2018-09-14 |
| 1306326996 | Jeisianne Rosario Colon | Student in an Organized Health Care Education/Training Program | 415 South Medical Drive, Suite D101, Bountiful, UT 84010 | 2018-08-14 |
| Find all providers in BOUNTIFUL | ||||
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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.