MR. ANTHONY GLENN MITCHELL SR. (NPI# 1073819579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073819579 |
| Entity Type | Individual |
| Full Name | MR. ANTHONY GLENN MITCHELL SR. |
| Practice Address |
862 S Main St Brigham City UT 84302-3320 |
| Practice Telephone | 4357231799 |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2011-01-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942814595 | Anthony Mitchell Jr. | Counselor | 1090 Saint Nicholas Ave Frnt A, New York, NY 10032-3809 | 2020-09-01 |
| 1649398439 | Anthony John Mitchell | Dentist | 2810 Nacogdoches Rd, San Antonio, TX 78217-5827 | 2007-03-27 |
| 1013968080 | Anthony L Mitchell | Emergency Medicine | 22 S Greene St, Baltimore, MD 21201-1544 | 2006-05-15 |
| 1679563977 | Anthony Mitchell | Nurse Practitioner | 1959 Ne Pacific St, Box 356174, Seattle, WA 98195-6174 | 2005-10-27 |
| Street Address |
862 S MAIN ST |
| City | BRIGHAM CITY |
| State | UT |
| Zip Code | 84302-3320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568594505 | Louis Ray Christensen | Dentist | 862 S Main St, Suite 2, Brigham City, UT 84302-3320 | 2007-03-12 |
| 1649795519 | Joseph Clark Abraham Burgan | Counselor | 862 S Main St, Brigham City, UT 84302 | 2017-08-11 |
| 1275064420 | Jacob Stradling | Counselor | 862 S Main St, Brigham City, UT 84302-3320 | 2017-03-21 |
| 1518408392 | Nathan Harmon | Counselor | 862 S Main St, Suite 4, Brigham City, UT 84302 | 2017-03-14 |
| 1730620824 | Ashley Morgen Nelson | Counselor | 862 S Main St, Brigham City, UT 84302-3320 | 2017-03-09 |
| 1902345945 | Kylee Bowden | Counselor | 862 S Main St, Suit 4, Brigham City, UT 84302-3320 | 2017-02-22 |
| 1740739762 | Braden Bunderson | Counselor | 862 S Main St, Brigham City, UT 84302-3320 | 2016-10-03 |
| 1811442841 | Kadin Christensen | Counselor | 862 S Main St, Brigham City, UT 84302-3320 | 2016-08-19 |
| 1285188391 | Doyle Murphy | Counselor | 862 S Main St, Brigham City, UT 84302-3320 | 2016-08-05 |
| 1891148086 | Robert Michael Winward | Counselor | 862 S Main St, Suite 4, Brigham City, UT 84302-3320 | 2016-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669945531 | Brandon Lee Allen | Counselor | 971 South 800 West, #104, Brigham City, UT 84302 | 2019-01-03 |
| 1104307495 | Tiffany Burnhope | Social Worker | 663 Parker Lane, Brigham City, UT 84302 | 2018-08-24 |
| 1558858464 | Michael Clark | Optometrist | 990 Medical Dr Ste G3, Brigham City, UT 84302 | 2018-04-16 |
| 1497273130 | Emily Marler | Counselor | 862 South Main Suite 4, Brigham City, UT 84302 | 2017-09-01 |
| 1003268731 | Tyler Beckstrand | Social Worker | 125 N Main Street, Brigham City, UT 84302 | 2016-07-06 |
| 1780030155 | Angela Stott | Case Manager/Care Coordinator | 160 E 800 S Apt. B216, Brigham City, UT 84302 | 2016-05-04 |
| 1699156802 | Christopher Jacobson | Family Medicine | 1050 Medical Dr, Brigham City, UT 84302 | 2015-06-12 |
| 1811377765 | Courtney Allred | Counselor | 863 S Main Street Suite 2, Brigham, UT 84302 | 2015-06-05 |
| 1235529579 | Belinda Castro | Counselor | 862 S Main Street Suite 2, Brigham City, UT 84302 | 2015-01-26 |
| 1760871818 | Ambryn Mccallson | Counselor | 862 S. Main, 4, Brigham City, UT 84302 | 2015-01-13 |
| Find all providers in zip 84302 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225449630 | Youthtrack, Inc | Foster Care Agency | 862 S Main Suite 4, Brigham City, UT 84302 | 2014-05-20 |
| 1093130130 | Brenda Tekell | Foster Care Agency | 862 S Main St Ste 201, Brigham City, UT 84302-3320 | 2014-02-26 |
| 1275879959 | Joshua Dallon | Foster Care Agency | 739 W 500 S, Brigham City, UT 84302-2820 | 2012-12-27 |
| 1902140841 | Scott Heninger | Foster Care Agency | 862 W Main St #4, Brigham City, UT 84302 | 2012-11-15 |
| 1972854909 | Melissa Fjeldsted | Foster Care Agency | 862 N Main St., Brigham City, UT 84302 | 2012-10-01 |
| 1417204330 | Daniel David Nelson | Foster Care Agency | 862 S Main St., #4, Brigham City, UT 84302-0887 | 2012-08-09 |
| 1598029639 | Jeremiah Hawkes Smith | Foster Care Agency | 682 S Main, Suite 4, Brigham City, UT 84302 | 2012-07-03 |
| 1346509098 | Ryan Geilmann | Foster Care Agency | 862 S Main St #4, Suite, Brigham City, UT 84302 | 2012-05-15 |
| 1275806143 | Stanley Blake Renda | Foster Care Agency | 862 S Main St Ste No4, Brigham City, UT 84302-3320 | 2012-02-22 |
| 1528352572 | Philip James Kraus | Foster Care Agency | 734 W 500 S, Brigham City, UT 84302-2821 | 2011-06-07 |
| Find all providers in BRIGHAM CITY | ||||
| City | BRIGHAM CITY |
| Zip Code | 84302 |
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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.