IVORA, INC. (NPI# 1952902850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952902850 |
| Entity Type | Organization |
| Organization Name | IVORA, INC. |
| Practice Address |
13894 S Bangerter Pkwy Ste 200 Draper UT 84020-5320 |
| Mailing Address |
10885 S Lostwood Dr Sandy UT 84092-4925 |
| Practice Telephone | 8019013603 |
| Mailing Telephone | 9547023372 |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |
| Authorized Official Name | STEPHEN M FABIANO (CEO) |
| Authorized Official Telephone | 9547023372 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Fia Care | Doing Business As Name - Organization |
| Street Address |
13894 S BANGERTER PKWY STE 200 |
| City | DRAPER |
| State | UT |
| Zip Code | 84020-5320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322776 | Chase Larsen Dmd Pllc | Dentist | 723 E 12200 S, Draper, UT 84020 | 2020-10-06 |
| 1780222380 | Derek Cragun | Counselor | 11706 700 E, Draper, UT 84020 | 2019-12-13 |
| 1720629371 | Own My Health Medical | Clinic/Center | 12371 900 E, Suite 102, Draper, UT 84020 | 2019-10-04 |
| 1508418856 | Thomas Mifflin | Physician Assistant | 721 East 12200 South, Draper, UT 84020 | 2019-07-16 |
| 1124670872 | Necia Dalley | Registered Nurse | 11800 S State St, Draper, UT 84020 | 2019-07-12 |
| 1285100784 | Tracey M Williams | Psychologist | 13200 S 1601 E, Draper, UT 84020 | 2018-10-23 |
| 1275008328 | Amoni Paeahelotu Finau | Community Health Worker | 13703 Wheatfield Way, Draper, UT 84020 | 2018-10-04 |
| 1891275525 | Cynthia Mae Bolton | Psychologist | 1192 E Draper Parkway # 447, Draper, UT 84020 | 2018-08-21 |
| 1164908026 | Headin' Home Inc. | Community/Behavioral Health | 12300 S. 150 W., Draper, UT 84020 | 2018-07-13 |
| 1366932576 | Forest Hulet | Dentist | 219 E 12300, Ste I-5, Draper, UT 84020 | 2018-05-14 |
| Find all providers in zip 84020 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396255360 | Bernard M Mutie | Nurse Practitioner | 12433 S Fort St, Draper, UT 84020-9363 | 2017-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104398361 | Lisa Ann Ostrander | Nurse Practitioner | 1385 W 2200 S, Taylorsville, UT 84119-7205 | 2018-12-27 |
| 1336698091 | Marie Jo Borres | Nurse Practitioner | 2211 W 5100 S, Roy, UT 84067-3422 | 2016-09-22 |
| 1013212802 | Your Home Clinic Company | Nurse Practitioner | 1032 Learned Ave, Salt Lake City, UT 84116-3302 | 2011-01-25 |
| 1558484808 | Cynthia Ann Newby | Nurse Practitioner | 451 E Bishop Federal Ln, Salt Lake City, UT 84115-2357 | 2007-04-09 |
| 1487761615 | Trenaisa Nay Consulting, LLC | Nurse Practitioner | 10171 Delsey Cv, South Jordan, UT 84095-7108 | 2006-08-24 |
| 1073533188 | Sandra Louise Mcnicoll | Nurse Practitioner | 5801 Fashion Blvd Ste 175, Murray, UT 84107-8115 | 2006-07-20 |
| 1447222849 | Perrine Johnson Anderson | Nurse Practitioner | 2773 Etienne Way, Sandy, UT 84093-1116 | 2006-02-02 |
| 1083610869 | Caregiver Support Network, Inc | Nurse Practitioner | 310 E 4500 S, Ste 200, Murray, UT 84107-3993 | 2005-06-25 |
| 1194345603 | Kaitlyn Hayes Pelletier | Nurse Practitioner | 2000 Circle of Hope Dr # 1950, Salt Lake City, UT 84112-5550 | 2020-04-24 |
| 1588215750 | Kimberly Rashelle Weir | Nurse Practitioner | 1600 W Antelope Dr, Layton, UT 84041-1142 | 2019-09-27 |
| 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.