JOAN M COLLETT (NPI# 1164703328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164703328 |
| Entity Type | Individual |
| Full Name | JOAN M COLLETT |
| Credential | NP |
| Practice Address |
1055 N 500 W Ste 202, Bldg C Provo UT 84604-8460 |
| Mailing Address |
2000 Circle of Hope Dr Room N1550 Salt Lake City UT 84112-5550 |
| Practice Telephone | 8013742367 |
| Practice Fax Number | 8014298015 |
| Mailing Telephone | (801) 213-4270 |
| Mailing Fax Number | 8015857902 |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 369162-4408 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
369162-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2000 Circle of Hope Dr, Room N1550, Salt Lake City, UT 841125550 | 8012134270 | 8015857902 |
| 96 E Kimballs Ln Ste 305, Draper, UT 840205021 | 8016555670 | 3852031344 |
| 1152 E 200 N, American Fork, UT 840032004 | 8017720698 | 8017720705 |
| Street Address |
1055 N 500 W STE 202, BLDG C |
| City | PROVO |
| State | UT |
| Zip Code | 84604-8460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285929430 | Brandt L Esplin | Internal Medicine | 1055 N 500 W Ste 202, Bldg C, Provo, UT 84604-8460 | 2011-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902333065 | Rebecca Ann Waite | Nurse Practitioner | 320 River Park Dr Ste 255, Provo, UT 84604-6065 | 2017-05-18 |
| 1215244967 | Darcy T Trotter | Nurse Practitioner | 3650 N University Ave Ste 150, Provo, UT 84604-6636 | 2010-09-01 |
| 1578701207 | Alisa Marie Garrett | Nurse Practitioner | 1300 E Center St, Provo, UT 84606-3554 | 2009-02-03 |
| 1932355740 | Maria Elena Black | Nurse Practitioner | 1034 N 500 W, Provo, UT 84604-3380 | 2008-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405228 | Jodi Pitt Dawson | Nurse Practitioner | 4695 Porter Ave, Ogden, UT 84403-3834 | 2020-10-19 |
| 1043851116 | Kenzlee Wooden | Nurse Practitioner | 845 S Main St Ste A7, Bountiful, UT 84010-6482 | 2019-09-30 |
| 1265090922 | Nina Davis | Nurse Practitioner | 1247 E Mockingbird Ln, Sandy, UT 84094-3118 | 2019-05-29 |
| 1023412434 | Gaylinn Breeze | Nurse Practitioner | 7093 S 2980 W, West Jordan, UT 84084-2963 | 2014-10-14 |
| 1174936140 | Elizabeth Shade Cardenas | Nurse Practitioner | 500 Foothill Drive #182h, Veterans Healthcare Administration, Salt Lake City, UT 84148 | 2014-06-08 |
| 1124449285 | Jan Clements | Nurse Practitioner | 1605 E Shadow Cv, Cottonwood Heights, UT 84121-3664 | 2013-12-16 |
| 1114289980 | Integrated Medical Services | Nurse Practitioner | 630 S. 400 E #101, St George, UT 84770 | 2012-06-08 |
| 1366737579 | Matrix Medical Network of Utah,llc | Nurse Practitioner | 2150 S 1300 E Ste 500, Salt Lake City, UT 84106-4375 | 2011-06-15 |
| 1609104553 | Denise Westover | Nurse Practitioner | 5169 S. Cottonwood St, Ste. 520, Murray, UT 84107 | 2009-12-03 |
| 1134457682 | Edith A Shepherd | Nurse Practitioner | 6923 W Long Ridge Dr, Herriman, UT 84096-3466 | 2009-11-20 |
| Find all providers with the same taxonomy | ||||
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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.