JAMIE KINGDON (NPI# 1023549268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023549268 |
| Entity Type | Individual |
| Full Name | JAMIE KINGDON |
| Practice Address |
652 Eaglepointe Dr North Salt Lake UT 84054-2643 |
| Practice Telephone | 8016387785 |
| Mailing Telephone | 8016387785 |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-03-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 405300000X | Prevention Professional | 119740-2401 | UT | Other Service Providers |
| Street Address |
652 EAGLEPOINTE DR |
| City | NORTH SALT LAKE |
| State | UT |
| Zip Code | 84054-2643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801307962 | Melou Stewart Cline | Music Therapist | 1130 Eaglewood Loop, North Salt Lake, UT 84054 | 2017-10-17 |
| 1083157382 | Badger Management LLC | Pharmacy | 725 N Redwood Road, N Salt Lake, UT 84054 | 2016-11-18 |
| 1790161495 | Clayton Brimhall | Social Worker | 951 South Silvertree Lane, North Salt Lake, UT 84054 | 2015-08-04 |
| 1124423215 | Orbit Onsite Care Clinic | Internal Medicine | 845 North Overland Rd., North Salt Lake, UT 84054 | 2014-10-31 |
| 1972865244 | Ray A Dumas | Community/Behavioral Health | 144 S. 300 E., North Salt Lake City, UT 84054 | 2012-06-13 |
| 1699060624 | Jeanne Marie Chadwick | Massage Therapist | 955 Elizabeth Dr., Nsl, UT 84054 | 2011-06-17 |
| 1447368634 | Wendy Louise Wolfe | Speech-Language Pathologist | 774 East Independence Way, North Salt Lake City, UT 84054 | 2006-08-28 |
| 1558603209 | Thomas Alan Duernberger | Pharmacist | 669 W 900 N, North Salt Lake, UT 84054 | 2013-03-20 |
| 1710493283 | Danielle Jeanne Merritt | Behavioral Analyst | 919 Callie Ct, North Salt Lake, UT 84054-0165 | 2017-12-20 |
| 1326503053 | Elevation Behavioral Science Services, Pllc | Community/Behavioral Health | 919 Callie Ct, North Salt Lake, UT 84054-0165 | 2019-02-06 |
| Find all providers in zip 84054 | ||||
| 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 |
| 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 |
| 1841721115 | Crystal Yazzie | Prevention Professional | 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 | 2017-03-27 |
| City | NORTH SALT LAKE |
| Zip Code | 84054 |
Please comment or provide details below to improve the information on JAMIE KINGDON.
| 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.