ALYSSA ANN DEAN (NPI# 1912411307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912411307 |
| Entity Type | Individual |
| Full Name | ALYSSA ANN DEAN |
| Practice Address |
1600 W Antelope Dr Layton UT 84041 |
| Mailing Address |
4143 W 1235 S Syracuse UT 84075-8658 |
| Practice Telephone | 8018071000 |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2018-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WE0003X |
Registered Nurse Specialization: Emergency |
6422358-3102 | UT | Nursing Service Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
6422358-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1600 W ANTELOPE DR |
| City | LAYTON |
| State | UT |
| Zip Code | 84041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053396770 | Brian Clint Hales | Anesthesiology | 1600 W Antelope Dr, Layton, UT 84041-1120 | 2005-12-15 |
| 1134741267 | Casey Gayland Jones | Pharmacist | 1600 W Antelope Dr, Layton, UT 84041-1120 | 2020-05-12 |
| 1174159123 | Nichole Laura Stahle | Dietitian, Registered | 1600 W Antelope Dr, Layton, UT 84041-1120 | 2020-03-20 |
| 1467088419 | Brooke Maughan Lister | Dietitian, Registered | 1600 W Antelope Dr, Layton, UT 84041-1120 | 2020-03-20 |
| 1588215750 | Kimberly Rashelle Weir | Nurse Practitioner | 1600 W Antelope Dr, Layton, UT 84041-1142 | 2019-09-27 |
| 1952862310 | Rosalyn Smith Warner | Dietitian, Registered | 1600 W Antelope Dr, Layton, UT 84041-1120 | 2019-03-28 |
| 1699269530 | Olivia Morgan Harris | Physical Therapist | 1600 W Antelope Dr, Layton, UT 84041-1142 | 2018-06-14 |
| 1871092569 | Trina Louise Bury | Nurse Practitioner | 1600 W Antelope Dr, Layton, UT 84041-1142 | 2018-02-08 |
| 1235541848 | Professional Anesthesia Services | Nurse Anesthetist, Certified Registered | 1600 W Antelope Dr, Layton, UT 84041-1142 | 2014-05-30 |
| 1649698820 | Gina R Ward | Dietitian, Registered | 1600 W Antelope Dr, Layton, UT 84041-1142 | 2014-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499183 | Grab Healthcare, LLC | Clinic/Center | 245 E 2150 N, Suite C, Layton, UT 84041 | 2020-08-26 |
| 1154961399 | Victoria Leeann Taylor | Massage Therapist | 716 Antelope Dr, Layton, UT 84041 | 2020-01-15 |
| 1184181505 | Brian Taylor Woodbury | Occupational Therapist | 471 Heritage Park Blvd. Ste #5, Layton, UT 84041 | 2019-02-21 |
| 1740756816 | Jacob C Juarez | Physician Assistant | 2084 N. 1700 W., Suite A, Layton, UT 84041 | 2018-10-16 |
| 1134637945 | Jodi Lynn Siri | Counselor | 365 W 1550 N Ste F, Layton, UT 84041 | 2018-01-15 |
| 1083128029 | Utah Cvs Pharmacy LLC | Pharmacy | 50 South Fort Lane, Layton, UT 84041 | 2017-11-29 |
| 1376057315 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2000 W & W 1700 S Nec, Layton, UT 84041 | 2017-11-29 |
| 1912411992 | Live Strong House LLC | Counselor | 377 N. Marshall Way, Suite 1b, Layton, UT 84041 | 2017-11-28 |
| 1003326505 | Kenneth L Ernstrom | Pharmacist | 2065 N Robins Drive, Layton, UT 84041 | 2017-10-10 |
| 1356868319 | Utah Home Health and Hospice LLC | Family Medicine | 920 W Heritage Park Blvd Suite 120, Layton, UT 84041 | 2017-08-29 |
| Find all providers in zip 84041 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235742016 | Luz Elena Reni | Nurse Practitioner | 593 Millcreek Way, Bountiful, UT 84010-3920 | 2020-08-31 |
| 1841803137 | Anywhere Care | Nurse Practitioner | 9980 S. 300 W. Suite 200, Sandy, UT 84070 | 2020-08-26 |
| 1356952840 | Sandra Robles | Nurse Practitioner | 6671 S Redwood Rd Ste 101, West Jordan, UT 84084-7489 | 2020-08-10 |
| 1265050660 | Dana Michelle Roach | Nurse Practitioner | 3435 E Pony Express Pkwy Ste 104, Eagle Mountain, UT 84005-5515 | 2020-07-12 |
| 1174141964 | Kaitlyn Miller Albrecht | Nurse Practitioner | 14094 S Candy Pull Dr, Draper, UT 84020-7511 | 2020-07-08 |
| 1700403540 | Brady Ardell Byington | Nurse Practitioner | 6654 Willow Creek Rd, Mountain Green, UT 84050-6810 | 2020-06-27 |
| 1528697950 | Meagan Mckean | Nurse Practitioner | 2486 E Newport Cir, Cottonwood Heights, UT 84121-5642 | 2020-04-07 |
| 1104487677 | Brandilyn Rolfe | Nurse Practitioner | 2629 Cottage Ct, Park City, UT 84098-8226 | 2019-06-25 |
| 1447819974 | Andrew Brice Heinecke | Nurse Practitioner | 6807 S 3200 W, West Jordan, UT 84084-1828 | 2019-06-09 |
| 1467977884 | Eden Family Care and Medical Aesthetics | Nurse Practitioner | 2612 N Highway 162, Eden, UT 84310-9745 | 2017-08-07 |
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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.