CRYSTAL YAZZIE (NPI# 1841721115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841721115 |
| Entity Type | Individual |
| Full Name | CRYSTAL YAZZIE |
| Practice Address |
344 E 100 S Ste 301 Salt Lake City UT 84111-1727 |
| Mailing Address |
7050 S 1300 W Apt 72 West Jordan UT 84084-7407 |
| Practice Telephone | 8013224257 |
| Mailing Telephone | 3853889161 |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2017-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 405300000X | Prevention Professional | 405300000X | UT | Other Service Providers |
| Street Address |
344 E 100 S STE 301 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84111-1727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649451642 | Eric John Schmidt | Social Worker | 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 | 2007-11-18 |
| 1992311906 | Chris Aaron Johns | Case Manager/Care Coordinator | 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 | 2020-09-16 |
| 1366057770 | Jacqualine Long | Case Manager/Care Coordinator | 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 | 2020-09-11 |
| 1992316699 | Michael Dandin | Counselor | 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 | 2020-08-14 |
| 1265043954 | Soana Talau Kelepi | Case Manager/Care Coordinator | 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 | 2020-08-14 |
| 1528678166 | Lori Frances Ili | Case Manager/Care Coordinator | 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 | 2020-08-07 |
| 1558971234 | Cristie Anderson | Case Manager/Care Coordinator | 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 | 2020-08-06 |
| 1629687884 | Kinley Ashton Millett | Case Manager/Care Coordinator | 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 | 2020-07-23 |
| 1225646565 | Denise Lee Tolbert | Case Manager/Care Coordinator | 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 | 2020-07-22 |
| 1437767068 | Tammy Checketts | Case Manager/Care Coordinator | 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 | 2020-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316551336 | Mary Ann Rush | Case Manager/Care Coordinator | 334 E. 100 S., Slc, UT 84111 | 2020-09-08 |
| 1790396554 | Stephanie G Mishenko | Military Health Care Provider | 344e 100s, Slc, UT 84111 | 2020-08-13 |
| 1386264802 | Mckensee M Carter | Case Manager/Care Coordinator | 334 E 100 S, Salt Lake City, UT 84111 | 2020-04-24 |
| 1316421761 | Community Health Centers, Inc. | Social Worker | 610 S 200 E Ste #b, Salt Lake City, UT 84111 | 2018-09-21 |
| 1528545506 | Lauren Brittney Harman | Case Manager/Care Coordinator | 344 E. 100 S., Salt Lake City, UT 84111 | 2018-07-23 |
| 1851896484 | Shivani Chowdhary | Dentist | 370 E South Temple Ste 350, Salt Lake City, UT 84111 | 2018-03-26 |
| 1801390661 | Jaylee Marie Watman | Case Manager/Care Coordinator | 344 E. 100 S. Ste 301, Salt Lake City, UT 84111 | 2018-03-19 |
| 1467963918 | Victoira Julia Graham | Case Management | 344 East 100 South Ste 301, Salt Lake City, UT 84111 | 2017-10-23 |
| 1750805404 | Kayla Hymas | Behavioral Analyst | 243 E. 400 S., Slc, UT 84111 | 2017-08-02 |
| 1134643224 | Julie Peaslee | Counselor | 275 E South Temple Ste 110, Salt Lake City, UT 84111 | 2017-07-31 |
| Find all providers in zip 84111 | ||||
| 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 |
|---|---|---|---|---|
| 1760916837 | Ambri Corlett Cunningham | Prevention Professional | 762 E 800 N, Genola, UT 84655-5056 | 2017-04-17 |
| 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 |
| City | SALT LAKE CITY |
| Zip Code | 84111 |
Please comment or provide details below to improve the information on CRYSTAL YAZZIE.
| 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.