CANDICE LIN SMITH (NPI# 1114462231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114462231 |
| Entity Type | Individual |
| Full Name | CANDICE LIN SMITH |
| Practice Address |
750 N Freedom Blvd Provo UT 84601-1677 |
| Practice Telephone | 8013734760 |
| Practice Fax Number | 8013734760 |
| Mailing Telephone | 8013734760 |
| Mailing Fax Number | 8013734760 |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2016-12-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
$$$$$$$$$ | UT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861732133 | Candice Rene Smith | Physical Therapy Assistant | 9751 W 85th St, Apt A, Overland Park, KS 66212-4516 | 2013-02-25 |
| 1487835567 | Candice Smith | Social Worker | 16067 M. L. K. Dr., Tchula, MS 39169-0518 | 2007-11-17 |
| 1811184088 | Candice K Smith | Pediatrics | 1699 Baywood Dr, Concord, CA 94521-1252 | 2007-10-01 |
| 1164067088 | Candice Smith | Counselor | 3336 E Chandler Heights Rd Ste 123, Gilbert, AZ 85298-4263 | 2019-11-14 |
| 1861053506 | Candice Renee Smith | Social Worker | 9412 Big Horn Blvd Ste 6, Elk Grove, CA 95758-1101 | 2019-06-24 |
| 1053881359 | Candice Smith | Case Manager/Care Coordinator | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2018-11-29 |
| 1972001105 | Candice Smith | Social Worker | 2401 Hartman St, Richmond, VA 23223-2458 | 2018-01-23 |
| 1578093308 | Candice Smith | Counselor | 2653 W Ogden Ave Fl 2, Chicago, IL 60608-1647 | 2017-06-14 |
| 1285097345 | Candice Rachel Smith | Counselor | 8512 Six Forks Rd Ste 101, Raleigh, NC 27615-3256 | 2016-04-05 |
| 1306225008 | Candice Smith | Nurse Practitioner | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2015-05-27 |
| Street Address |
750 N FREEDOM BLVD |
| City | PROVO |
| State | UT |
| Zip Code | 84601-1677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679551634 | Amy Buehler | Social Worker | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2006-01-09 |
| 1437750270 | Michael Stevenson | Case Manager/Care Coordinator | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2020-11-06 |
| 1174122683 | Alyssa Ketler | Case Manager/Care Coordinator | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2020-10-26 |
| 1770183261 | Kaitlin Buckway | Case Manager/Care Coordinator | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2020-10-26 |
| 1841899465 | Linda Madsen Fifita | Student in an Organized Health Care Education/Training Program | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2020-10-23 |
| 1427657352 | Jessica Ray Clyde | Licensed Practical Nurse | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2020-10-21 |
| 1134728033 | Tyra Tsosie | Student in an Organized Health Care Education/Training Program | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2020-10-21 |
| 1457950529 | Justin Jacobson | Student in an Organized Health Care Education/Training Program | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2020-10-20 |
| 1881293264 | Kurt Louis Candalot | Case Manager/Care Coordinator | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2020-10-18 |
| 1265030613 | Ailaina Nicole Herman Rice | Student in an Organized Health Care Education/Training Program | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2020-10-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902378417 | 1 Assist Care of Utah Valley LLC | In Home Supportive Care | 180 N University Avenue, Suite 270, Office 213, Provo, UT 84601 | 2018-12-21 |
| 1346723319 | Mp Dental LLC | Dentist | 777 N. 500 W. #204, Proud, UT 84601 | 2018-09-14 |
| 1326530601 | Madison Paige Nelson | Case Manager/Care Coordinator | 750 N Freedom Blvd., Provo, UT 84601 | 2018-06-03 |
| 1245758861 | Annette Roylance | Case Manager/Care Coordinator | 750 North Freedom Boulevard, Suite 300, Provo, UT 84601 | 2017-09-04 |
| 1912422205 | Alexandra Mcbride | Specialist/Technologist | 35 N 300 W #440, Provo, UT 84601 | 2017-08-07 |
| 1932638293 | Audrey Clara Clifton | Case Manager/Care Coordinator | 750 North Freedom Blvd., Provo, UT 84601 | 2017-06-08 |
| 1528514197 | Joseph Hyrum Lewis | Case Manager/Care Coordinator | 750 Freedom Blvd, Provo, UT 84601 | 2016-09-01 |
| 1629427620 | Walker Clements | Case Manager/Care Coordinator | 750 North Freedom Blvd, Provo, UT 84601 | 2016-06-09 |
| 1447611595 | Robert Shirley | Student in an Organized Health Care Education/Training Program | 750 North 200 West, Provo, Ut 84601., Provo, UT 84601 | 2016-03-17 |
| 1700286283 | Brelynn Downs | Student in an Organized Health Care Education/Training Program | 750 North Freedom Blvde, Provo, UT 84601 | 2014-09-03 |
| Find all providers in zip 84601 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689178071 | Marie Dian Foster | Psychologist | 5455 River Run Dr, Provo, UT 84604-7726 | 2018-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891275525 | Cynthia Mae Bolton | Psychologist | 1192 E Draper Parkway # 447, Draper, UT 84020 | 2018-08-21 |
| 1972089951 | Rebecca Lyn Walton | Psychologist | 442 W Bountiful Way, Saratoga Springs, UT 84045 | 2018-07-13 |
| 1477066124 | Kristen K Murdock | Psychologist | 1171 S 225 E, Orem, UT 84058-6975 | 2017-11-15 |
| 1013276559 | Ben Springer | Psychologist | 446 E 2010 S, Heber City, UT 84032-4457 | 2012-05-03 |
| 1104437110 | Eden Deanne Steffey | Psychologist | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2020-08-12 |
| 1841824281 | Michal Lynne Johnson | Psychologist | 9678 S 700 E Ste 102, Sandy, UT 84070-3593 | 2020-02-25 |
| 1588200752 | Matthew Kirby | Psychologist | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2019-11-22 |
| 1235694001 | Fred Brooks | Psychologist | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2019-02-06 |
| 1225507908 | Jennifer Guthmann | Psychologist | 327 W Gordon Ave Ste 2, Layton, UT 84041-2381 | 2018-11-25 |
| 1639474497 | Allison Jones | Psychologist | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2011-01-25 |
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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.