CARLIE JO HAMILTON (NPI# 1104978873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104978873 |
| Entity Type | Individual |
| Full Name | CARLIE JO HAMILTON |
| Credential | FNP |
| Practice Address |
12272 S 800 E Suite A Draper UT 84020-9789 |
| Practice Telephone | 8015231300 |
| Practice Fax Number | 8015231301 |
| Mailing Telephone | 8015231300 |
| Mailing Fax Number | 8015231301 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2011-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
294110-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12272 S 800 E SUITE A |
| City | DRAPER |
| State | UT |
| Zip Code | 84020-9789 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861413742 | Renee Nilsson Scheidell | Internal Medicine | 12272 S 800 E, Suite 100, Draper, UT 84020-9789 | 2006-07-23 |
| 1104218387 | Avamere Home Health Care, LLC | Home Health | 12272 S 800 E, Suite B, Draper, UT 84020-9789 | 2015-02-25 |
| 1912399197 | Northwest Hospice, LLC | Hospice Care, Community Based | 12272 S 800 E, Suite B, Draper, UT 84020-9789 | 2015-02-25 |
| 1972948776 | John Cheney | Chiropractor | 12272 S 800 E, Suite C, Draper, UT 84020-9789 | 2013-05-07 |
| 1083059885 | Eric Mcentire | Chiropractor | 12272 S 800 E, Suite C, Draper, UT 84020-9789 | 2013-05-07 |
| 1518243187 | Canessa Craigo Leeflang | Nurse Practitioner | 12272 S 800 E, Ste A, Draper, UT 84020-9789 | 2011-10-27 |
| 1447446182 | Donna R Melton | Optometrist | 12272 S 800 E, Ste 100, Draper, UT 84020-9789 | 2007-09-17 |
| 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 | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144887365 | Katherine Elizabeth Stevenson | Nurse Practitioner | 12176 S 1000 E Ste 10, Draper, UT 84020-3221 | 2019-05-22 |
| 1346704533 | Brooke O'brien | Nurse Practitioner | 11762 S State St Ste 200, Draper, UT 84020-7158 | 2019-01-22 |
| 1457603466 | Kelly Lynn Lance | Nurse Practitioner | 248 E 13800 S, Suite 3, Draper, UT 84020-5010 | 2012-10-15 |
| 1578172847 | Leslie Forbush | Nurse Practitioner | 14425 S Bitterbrush Ln, Draper, UT 84020-9501 | 2020-07-23 |
| 1659936151 | Heather Harrison Hardy | Nurse Practitioner | 12433 S Fort St, Draper, UT 84020-9363 | 2019-05-09 |
| 1528621752 | Ashlee Williams | Nurse Practitioner | 12340 S 450 E, Draper, UT 84020-8154 | 2019-04-14 |
| 1184184863 | Hafsa M Abdikadir | Nurse Practitioner | 267 E Traversepoint Dr, Draper, UT 84020-5679 | 2019-03-20 |
| 1689145963 | Anew Clinical Practitioners Pllc | Nurse Practitioner | 11762 S State St Ste 160, Draper, UT 84020-7174 | 2018-12-11 |
| 1518402841 | Christopher Michael Williams | Nurse Practitioner | 12176 S 1000 E, Draper, UT 84020-9734 | 2016-12-22 |
| 1871041574 | Margaret Swiler | Nurse Practitioner | 74 E Kimballs Ln Ste 300, Draper, UT 84020-5009 | 2016-09-12 |
| Find all providers in DRAPER | ||||
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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.