MR. TRENT C. HOLMBERG (NPI# 1174546337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174546337 |
| Entity Type | Individual |
| Full Name | MR. TRENT C. HOLMBERG |
| Credential | M.D. |
| Practice Address |
12176 S 1000 E Suite B Draper UT 84020-9734 |
| Practice Telephone | 8014322077 |
| Practice Fax Number | 8014322079 |
| Mailing Telephone | 8014322077 |
| Mailing Fax Number | 8014322079 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2012-08-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
3761051205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
12176 S 1000 E SUITE B |
| City | DRAPER |
| State | UT |
| Zip Code | 84020-9734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255323697 | Gary Scott Call | Family Medicine | 12176 S 1000 E, Draper, UT 84020-9716 | 2005-08-22 |
| 1518503291 | Amy Covington | Dietitian, Registered | 12176 S 1000 E, Draper, UT 84020-9734 | 2019-11-18 |
| 1396236188 | East Ridge Rx LLC | Pharmacy | 12176 S 1000 E, Ste 2, Draper, UT 84020-9734 | 2018-05-29 |
| 1518402841 | Christopher Michael Williams | Nurse Practitioner | 12176 S 1000 E, Draper, UT 84020-9734 | 2016-12-22 |
| 1073909594 | Spencer J Hardenbrook Md PC | Family Medicine | 12176 S 1000 E, Draper, UT 84020-9734 | 2015-04-10 |
| 1497176911 | Mary-faith Fuller | Nurse Practitioner | 12176 S 1000 E, Ste G, Draper, UT 84020-9734 | 2013-12-31 |
| 1225463169 | Innovative Rx LLC | Pharmacy | 12176 S 1000 E, Ste 2, Draper, UT 84020-9734 | 2013-09-11 |
| 1881952315 | Spencer James Hardenbrook | Family Medicine | 12176 S 1000 E, Draper, UT 84020-9734 | 2012-05-03 |
| 1780965426 | Joe Timmins Lcsw, Inc. | Community/Behavioral Health | 12176 S 1000 E, Suite C, Draper, UT 84020-9734 | 2011-09-08 |
| 1861773327 | Joseph F Kasper Md PC | Family Medicine | 12176 S 1000 E, Draper, UT 84020-9734 | 2011-08-29 |
| Find all providers in the same location | ||||
| 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 | 2084F0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Forensic Psychiatry |
| Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558430470 | Phil Washburn | Psychiatry & Neurology | 251 W Hwy 198, Salem, UT 84653-0786 | 2006-11-07 |
| 1558332353 | David L Moulton | Psychiatry & Neurology | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2006-01-30 |
| 1548244676 | Poonam Soni | Psychiatry & Neurology | 3970 S 700 E Ste 12, Salt Lake City, UT 84107-2584 | 2005-12-01 |
| 1750989349 | Wellcon, Inc. | Psychiatry & Neurology | 3415 S 900 W, South Salt Lake, UT 84119-4103 | 2020-10-15 |
| 1841310950 | Benjamin Todd Thatcher | Psychiatry & Neurology | 1020 S Main St, #300, Salt Lake City, UT 84101-3176 | 2007-03-30 |
| 1780731679 | Aaron James Hunt | Psychiatry & Neurology | 1300 E Center St, Provo, UT 84606-3554 | 2007-01-04 |
| 1639269269 | David A. Tomb | Psychiatry & Neurology | 50 N Medical Dr, Salt Lake City, UT 84132 | 2006-10-13 |
| 1568483030 | Joseph D Dye | Psychiatry & Neurology | 5030 Harrison Blvd, Ogden, UT 84403-4311 | 2006-07-21 |
| 1013995471 | Edward Leslie Kelly | Psychiatry & Neurology | 1300 E Center St, Provo, UT 84606-3554 | 2006-01-05 |
Please comment or provide details below to improve the information on MR. TRENT C. HOLMBERG.
| 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.