SHELLY HEAD (NPI# 1154797330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154797330 |
| Entity Type | Individual |
| Full Name | SHELLY HEAD |
| Credential | ATC |
| Practice Address |
3725 W 4100 S West Valley City UT 84120-5530 |
| Practice Telephone | 8016790123 |
| Mailing Telephone | 8016790123 |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2015-08-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
6320111-4810 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3725 W 4100 S |
| City | WEST VALLEY CITY |
| State | UT |
| Zip Code | 84120-5530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710985726 | Edgar Booth | Radiology | 3725 W 4100 S, Ste 102, West Valley City, UT 84120-5417 | 2005-07-13 |
| 1720634686 | Anika Kathleen Jansen | Physical Therapist | 3725 W 4100 S, West Valley City, UT 84120-5411 | 2019-08-15 |
| 1083278717 | Shanell N Rich | Registered Nurse | 3725 W 4100 S, West Valley City, UT 84120-5411 | 2019-04-29 |
| 1578040465 | Corey Neerings | Nurse Practitioner | 3725 W 4100 S, West Valley City, UT 84120-5530 | 2018-07-23 |
| 1760968887 | Ashley Anne Aardsma | Physical Therapist | 3725 W 4100 S, West Valley City, UT 84120-5530 | 2018-07-11 |
| 1184145617 | Ryan Marcus White | Nurse Practitioner | 3725 W 4100 S, West Valley City, UT 84120-5530 | 2017-07-06 |
| 1952859852 | Connor England | Physician Assistant | 3725 W 4100 S, West Valley City, UT 84120-5530 | 2016-09-20 |
| 1639554199 | Michelle Looye | Social Worker | 3725 W 4100 S, West Valley City, UT 84120-5411 | 2015-07-27 |
| 1609271188 | Ben Sumner | Physician Assistant | 3725 W 4100 S, West Valley City, UT 84120-5530 | 2014-10-27 |
| 1518385756 | Kadin K Wilson | Dentist | 3725 W 4100 S, West Valley City, UT 84120-5411 | 2014-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891349213 | Eli Kenny | Physical Therapist | 336 South 4155 West, West Valley City, UT 84120 | 2019-07-25 |
| 1841765377 | Wan Jen Horng | Pharmacist | 4052 Pioneer Parkway, # 111, West Valley City, UT 84120 | 2018-10-11 |
| 1841784220 | Andrea Savas | Physical Therapist | 3460 South 4155 West, West Valley City, UT 84120 | 2018-06-19 |
| 1235628223 | Meds In Motion, LLC | Pharmacy | 12101 S State St, Suite 101a, Draper, UT 84120 | 2018-05-04 |
| 1316477383 | Kendra Lindsey | Social Worker | 4052 W 3390 S Suite 105, West Valley City, UT 84120 | 2017-06-13 |
| 1154726842 | National Vision, Inc. | Technician/Technologist | 2569 South 5600 West, Ste A 550, West Valley, UT 84120 | 2014-10-24 |
| 1154637825 | Granger Pediatric Dentistry | Clinic/Center | 3725 W. 4100 S., Suite #260, West Valley City, UT 84120 | 2010-08-19 |
| 1104060714 | Comprehensive Medical Management, PC | Physical Medicine & Rehabilitation | 4052 W Pioneer Parkway, Suite 208, West Valley City, UT 84120 | 2009-04-27 |
| 1336384197 | Bamileke Sinju Sinju | Home Health | 3712 South Golden Grain Cir, West Valley City, UT 84120 | 2008-12-09 |
| 1164673331 | Empowered for Life, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5004 West Janette Drive, West Valley City, UT 84120 | 2008-10-07 |
| Find all providers in zip 84120 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114561883 | Wayne Oliver Cook | Specialist/Technologist | 3725 W 4100 S Ste 120, West Valley City, UT 84120-5419 | 2019-11-05 |
| 1568937381 | Daniel Paul Carpenter | Specialist/Technologist | 3580 S 3600 W, West Valley City, UT 84119-2645 | 2018-10-08 |
| 1659740207 | Dallin Lund | Specialist/Technologist | 4205 S 4625 W, West Valley City, UT 84120-4929 | 2015-09-24 |
| 1043612252 | Graydon Wickman | Specialist/Technologist | 3336 S Pioneer Pkwy, Suite 101, West Valley City, UT 84120-2000 | 2014-09-18 |
| 1245290691 | Rick Hackford | Specialist/Technologist | 6270 W 3705 S, West Valley City, UT 84128-2560 | 2006-03-27 |
| 1518509223 | Jessica Mansell | Specialist/Technologist | 4643 S 4000 W, West Valley City, UT 84120-6233 | 2019-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202875 | Kadie Chadwick | Specialist/Technologist | 11892 S Quarry Ridge Cv, Herriman, UT 84096-7732 | 2020-10-13 |
| 1407462021 | Robert Shelton | Specialist/Technologist | 665 S 2000 W, Syracuse, UT 84075-9623 | 2020-09-18 |
| 1235744632 | Megan Louise Larkins | Specialist/Technologist | 4000 Brinker Ave. The Apartments., Apartment 15, Ogden, UT 84403 | 2020-09-11 |
| 1093329948 | Ryan Patrick Renkiewicz | Specialist/Technologist | 2150 W 4800 S, Roy, UT 84067-1844 | 2020-09-08 |
| 1437761814 | Chris Goodman | Specialist/Technologist | 1371 S 625 E, Springville, UT 84663-2602 | 2020-08-18 |
| 1730798703 | Luis Rosas | Specialist/Technologist | 448 W 13490 S Apt 431, Draper, UT 84020-7262 | 2020-07-27 |
| 1780202978 | Katie Marie Plyer | Specialist/Technologist | 1860 E 250 S, Salt Lake City, UT 84112-4531 | 2020-07-14 |
| 1932727724 | Jose Luis Sandoval De Leon | Specialist/Technologist | 260 S 1850 E Rm 208, Salt Lake City, UT 84112-0910 | 2020-07-08 |
| 1629695929 | John Randall Woodworth | Specialist/Technologist | 383 S Colorow Dr Rm 392, Salt Lake City, UT 84108-1245 | 2020-07-02 |
| 1144847161 | Tara Marquez | Specialist/Technologist | Brigham Young University Sports Medicine 123 Sab, Provo, UT 84602 | 2020-06-26 |
| Find all providers with the same taxonomy | ||||
| City | WEST VALLEY CITY |
| Zip Code | 84120 |
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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.