MR. DEREK JAMES SMITH (NPI# 1144671884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144671884 |
| Entity Type | Individual |
| Full Name | MR. DEREK JAMES SMITH |
| Credential | M.ED. |
| Practice Address |
5689 S Redwood Rd Suite 27 Taylorsville UT 84123-5447 |
| Practice Telephone | 8012662485 |
| Practice Fax Number | 8666449206 |
| Mailing Telephone | 8012662485 |
| Mailing Fax Number | 8666449206 |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2016-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407496110 | Derek Jenkins Smith | Home Health Aide | 2514 24th St Ne, Washington, DC 20018-2126 | 2020-01-10 |
| 1922511765 | Derek Smith | Counselor | 1317 Wilmer Ave Ste 102, Anniston, AL 36201-4600 | 2017-11-15 |
| 1871049437 | Derek Anthony Smith | Physical Therapist | 89135, 10550 W Park Run Dr, Las Vegas, NV 89144 | 2016-09-01 |
| 1518375682 | Derek Smith | Chiropractor | 809 Iroquois Cir, Baraboo, WI 53913-1248 | 2014-08-01 |
| 1386066082 | Derek Smith | Pharmacist | 727 E Main St, Havana, IL 62644-1530 | 2014-01-15 |
| 1730522863 | Derek K Smith | Student in an Organized Health Care Education/Training Program | 2025 Morse Avenue 1east Rm#6, Sacramento, CA 95825 | 2013-04-08 |
| 1346582525 | Derek Beeson Smith | Orthopaedic Surgery | 1140 Sw Simpson Ave Ste 100, Bend, OR 97702 | 2013-03-26 |
| 1780937961 | Derek Smith | Physical Therapist | 7405 W Arizona Pl, Lakewood, CO 80232-5416 | 2012-10-24 |
| 1407869019 | Derek R Smith | Psychiatry & Neurology | One Towne Park Plaza, Norwich, CT 06360 | 2006-08-14 |
| 1689298861 | Derek Nathaniel Smith | Nurse Anesthetist, Certified Registered | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-06-03 |
| Street Address |
5689 S REDWOOD RD SUITE 27 |
| City | TAYLORSVILLE |
| State | UT |
| Zip Code | 84123-5447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332096 | Joshua Wayne Greep | Social Worker | 5689 S Redwood Rd, Taylorsville, UT 84123-5447 | 2020-10-05 |
| 1598282188 | Andrea R Gardner-young | Counselor | 5689 S Redwood Rd, Taylorsville, UT 84123-5447 | 2017-08-24 |
| 1962865121 | Amy Feller | Counselor | 5689 S Redwood Rd, 4f, Taylorsville, UT 84123-5447 | 2016-04-04 |
| 1134580103 | Summit Community Counseling | Community/Behavioral Health | 5689 S Redwood Rd, Taylorsville, UT 84123-5447 | 2016-03-17 |
| 1326440371 | Kimberly England | Counselor | 5689 S Redwood Rd, Taylorsville, UT 84123-5447 | 2014-09-22 |
| 1851670772 | Meredith Safman | Social Worker | 5689 S Redwood Rd, #27, Taylorsville, UT 84123-5447 | 2011-08-09 |
| 1770712291 | Michelle Audrey Sanders | Counselor | 5689 S Redwood Rd, Suite 27, Taylorsville, UT 84123-5447 | 2009-07-06 |
| 1053555821 | Janet E. Hooper, Inc. | Social Worker | 5689 S Redwood Rd, #28-2, Taylorsville, UT 84123-5447 | 2009-04-23 |
| 1538331913 | Brian Cherry | Counselor | 5689 S Redwood Rd, Suite 27, Taylorsville, UT 84123-5447 | 2008-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186837 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5792 South Redwood Road, Taylorsville, UT 84123 | 2020-08-27 |
| 1164040614 | Mark E Hutchinson | Counselor | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
| 1396259321 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4082 South Redwood Road, West Valley Road, UT 84123 | 2017-11-29 |
| 1083131890 | Kelli Mcstotts | Counselor | 5689 S. Redwood Road, Taylorsville, UT 84123 | 2017-08-23 |
| 1740706571 | Laura B Ellsworth | Case Manager/Care Coordinator | 5667 So. Redwood Road, 6b, Salt Lake City, UT 84123 | 2017-08-14 |
| 1790214120 | Integrated Autism Therapies | Behavioral Analyst | 5984 S. Susquehanna, Murray, UT 84123 | 2017-06-08 |
| 1083163885 | Michael John Flint | Counselor | 5861 South Redwood Road, #24, Taylorsville, UT 84123 | 2016-09-22 |
| 1548716236 | Andres Ramos | Licensed Psychiatric Technician | 697 West 4170 South, Murray, UT 84123 | 2016-09-01 |
| 1467807040 | Sheryl R Schindler | Counselor | 5770 South 1550 West, Bldg G, Primary Children's Counseling Center, Taylorsville, UT 84123 | 2016-05-02 |
| 1730562141 | Megan Merica Snarr | Dentist | 597 West 5300 South, Murray, UT 84123 | 2015-07-02 |
| Find all providers in zip 84123 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625771 | Annalynne Gonzales | Student in an Organized Health Care Education/Training Program | 4591 S Sunstone Rd Apt 98, Taylorsville, UT 84123-3649 | 2020-06-28 |
| 1932724069 | Gabriela Carriel Lagemann | Student in an Organized Health Care Education/Training Program | 1989 W Quailstone Dr, Taylorsville, UT 84129-1142 | 2020-06-15 |
| 1538796644 | Mara Rushe Piechowski Arterburn | Student in an Organized Health Care Education/Training Program | 43 Copley Ct, Taylorsville, KY 40071-8196 | 2020-03-26 |
| 1972959989 | Kaeley Warnock | Student in an Organized Health Care Education/Training Program | 1103 W Jerusalem Dr, Taylorsville, UT 84123-4720 | 2016-05-09 |
| 1023302072 | Taliilagi Poleki | Student in an Organized Health Care Education/Training Program | 5300 S 3325 W, Taylorsville, UT 84118-3123 | 2011-06-07 |
| 1164051074 | Ashley N Eckman | Student in an Organized Health Care Education/Training Program | 3509 W 4700 S, Taylorsville, UT 84129-2846 | 2020-04-02 |
| 1306409420 | Janis Alayne Hovi | Student in an Organized Health Care Education/Training Program | 1760 W 4805 S, Taylorsville, UT 84129-1177 | 2019-04-15 |
| 1922587435 | Leigh Ann Marsh | Student in an Organized Health Care Education/Training Program | 3809 W 6200 S, Taylorsville, UT 84129-3725 | 2018-08-07 |
| 1922359355 | Samantha Beth Ann Harris | Student in an Organized Health Care Education/Training Program | 5691 S Redwood Rd, #16, Taylorsville, UT 84123-5420 | 2012-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205829 | Brittany Nicole Beverly | Student in an Organized Health Care Education/Training Program | 236 N Sun Arbor Ter Apt 2111, Salt Lake City, UT 84116-4537 | 2020-11-06 |
| 1649871617 | Brian Anders Johnson | Student in an Organized Health Care Education/Training Program | 720 S River Rd Ste B105, St George, UT 84790-5704 | 2020-11-05 |
| 1336740505 | Benjamin H Reece | Student in an Organized Health Care Education/Training Program | 191 N Clark Ln, Elk Ridge, UT 84651-9550 | 2020-11-04 |
| 1538760061 | Joshua Ty Winters | Student in an Organized Health Care Education/Training Program | 3691 W Pure Nirvana Ln, Herriman, UT 84096-2617 | 2020-11-02 |
| 1972103885 | Ryan James Larsen | Student in an Organized Health Care Education/Training Program | 1786 N Main St, Centerville, UT 84014-1133 | 2020-10-29 |
| 1134727142 | Jonathon Cahoon | Student in an Organized Health Care Education/Training Program | 10604 N 5550 W, Highland, UT 84003-8903 | 2020-10-12 |
| 1396342713 | Katrina Poulsen | Student in an Organized Health Care Education/Training Program | 617 East Rriverside Dr, Ste 301, St. George, UT 84790 | 2020-10-08 |
| 1558968529 | Raul G Betancourt-perez | Student in an Organized Health Care Education/Training Program | 151 Coventry Pl, Logan, UT 84341-1998 | 2020-10-02 |
| 1386241560 | Rebecca Nay | Student in an Organized Health Care Education/Training Program | 4052 West 3390 South, Suite 105, West Valley City, UT 84120-2049 | 2020-10-01 |
| 1730793852 | Katrina Rose Emery | Student in an Organized Health Care Education/Training Program | 1374 E Willow Vista Dr, Sandy, UT 84093-6644 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
| City | TAYLORSVILLE |
| Zip Code | 84123 |
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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.