LISA MARION SLADYK (NPI# 1972015675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972015675 |
| Entity Type | Individual |
| Full Name | LISA MARION SLADYK |
| Credential | RN |
| Practice Address |
1161 E 300 N Provo UT 84606-3539 |
| Mailing Address |
710 S 320 W Provo UT 84601-5830 |
| Practice Telephone | 8013774668 |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2017-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
277003-3102 | UT | Nursing Service Providers |
| Street Address |
1161 E 300 N |
| City | PROVO |
| State | UT |
| Zip Code | 84606-3539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134220635 | Adrienne I Duffany | Social Worker | 1161 E 300 N, Provo, UT 84606-3539 | 2006-09-26 |
| 1023402302 | Lindsey Feil | Student in an Organized Health Care Education/Training Program | 1161 E 300 N, Provo, UT 84606-3539 | 2015-03-24 |
| 1922380237 | Derrick Kirk White | Case Manager/Care Coordinator | 1161 E 300 N, Provo, UT 84606-3539 | 2011-09-13 |
| 1861720567 | Robin Paul Shepley | Marriage & Family Therapist | 1161 E 300 N, Provo, UT 84606-3539 | 2009-11-18 |
| 1952635005 | Bethany Whitehead | Case Manager/Care Coordinator | 1161 E 300 N, Provo, UT 84606-3539 | 2009-09-22 |
| 1831423037 | Michelle Grotegut | Social Worker | 1161 E 300 N, Provo, UT 84606-3539 | 2009-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053935551 | Olivia Stiles | Specialist/Technologist | 200 E 515 N, Provo, UT 84606 | 2020-06-01 |
| 1417439076 | Quin Spencer Volpe | Counselor | 1035 E 560 N, Provo, UT 84606 | 2018-08-30 |
| 1700365434 | Hyunwook Lee | Specialist/Technologist | 1369 S 1500 E, Provo, UT 84606 | 2018-08-13 |
| 1598268930 | Victor Bert Arthur Moxley | Specialist | 290 N 300 E, Provo, UT 84606 | 2018-03-12 |
| 1184132623 | Academy Dental LLC | Advanced Practice Dental Therapist | 488 N 100 E St., Provo, UT 84606 | 2018-01-18 |
| 1720433485 | Sean Lamb | Counselor | 231 S. 100 E., Provo, UT 84606 | 2016-05-02 |
| 1508236795 | Forever Young Dentistry Pllc | Clinic/Center | 2335 S. State Street, Ste #200, Provo, UT 84606 | 2015-09-30 |
| 1558766014 | Nancy Huber | Physician Assistant | Mountainland Community Health Center, 529 South State Street, Provo, UT 84606 | 2014-10-27 |
| 1356778377 | Myrna Suzanne Gillis | Marriage & Family Therapist | 1726 Buckley Drive, Provo, UT 84606 | 2013-10-04 |
| 1558651067 | Melissa Anne Mccreary | Counselor | 151 S.state St. University Ave., Ste 1400, Provo, UT 84606 | 2011-04-18 |
| Find all providers in zip 84606 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255968681 | Tiffani Petersen | Registered Nurse | 1034 N 500 W, Provo, UT 84604-3380 | 2020-03-25 |
| 1851934707 | Vicky Suruky | Registered Nurse | 4501 N University Ave, Provo, UT 84604-5504 | 2019-10-23 |
| 1962961136 | Kristine Wisdom | Registered Nurse | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2019-03-18 |
| 1043723125 | Mindy Anne Spencer | Registered Nurse | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2017-11-10 |
| 1376065375 | Natalie Clark | Registered Nurse | 750 N Freedom Blvd # 200w, Provo, UT 84601-1677 | 2017-07-11 |
| 1104366558 | Melanie Winsor | Registered Nurse | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2017-03-06 |
| 1063962140 | Gary Webb | Registered Nurse | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2016-10-12 |
| 1912369679 | Rosemary Parson | Registered Nurse | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2016-03-22 |
| 1386005569 | Brittany Antoine | Registered Nurse | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2016-03-15 |
| 1083017875 | Cheri Lynn Wright | Registered Nurse | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2014-10-07 |
| Find all providers in PROVO | ||||
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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.