MAX MITCHELL (NPI# 1174995500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174995500 |
| Entity Type | Individual |
| Full Name | MAX MITCHELL |
| Practice Address |
112 W 770 N Santaquin UT 84655-7913 |
| Practice Telephone | 8017543654 |
| Mailing Telephone | 8017543654 |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2015-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3102637-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346294394 | Max Hamilton Mitchell | Physical Therapist | 3909 Ne Stallings Dr, Nacogdoches, TX 75965 | 2006-05-22 |
| 1861761967 | Max Garrison Mitchell | Registered Nurse | 107 H Street, Poplar, MT 59255-0067 | 2011-12-19 |
| 1154340602 | Max Mitchell | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2006-07-18 |
| Street Address |
112 W 770 N |
| City | SANTAQUIN |
| State | UT |
| Zip Code | 84655-7913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386257764 | Katie Lee Higgs | Marriage & Family Therapist | 1172 E State, W 100 N Suite 10, Payson, UTAH, UNITED STATES 84655 | 2020-08-26 |
| 1023637675 | Santaquin Market, Inc. | Pharmacy | 110 N. 400 E., Santaquin, UT 84655 | 2020-04-14 |
| 1215285929 | Seasons of Santaquin Assisted Living & Memory Care | Assisted Living Facility | 785 East 150 South, Santaquin, UT 84655 | 2012-08-28 |
| 1679685432 | Bradley D Horrocks | Physical Therapist | 340 East Main St, Suite #4, Santaquin, UT 84655 | 2006-08-31 |
| 1043280555 | Kenyon B Anderson | Optometrist | 252 W Main St Ste C, Santaquin, UT 84655 | 2006-01-25 |
| 1164580890 | Canyon View Medical Group LLC | Family Medicine | 94 W Main St, Santaquin, UT 84655 | 2006-12-05 |
| 1205108487 | Lara Howard | Case Manager/Care Coordinator | 624 N 500 W, Santaquin, UT 84655-5021 | 2012-02-02 |
| 1760916837 | Ambri Corlett Cunningham | Prevention Professional | 762 E 800 N, Genola, UT 84655-5056 | 2017-04-17 |
| 1669084661 | Adrianne Mason | Counselor | 1580 N Hillside Dr, Genola, UT 84655-5066 | 2020-08-20 |
| 1164984456 | Gonzales Lcsw LLC | Social Worker | 61 E 1600 N, Genola, UT 84655-5090 | 2019-04-04 |
| Find all providers in zip 84655 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356957781 | Holly Lovell | Nurse Practitioner | 56 S 1030 E, Santaquin, UT 84655-5698 | 2020-09-21 |
| 1306270855 | Jennifer Lynne Trinidad | Nurse Practitioner | 548 Stone Way, Santaquin, UT 84655-5638 | 2013-09-01 |
| 1619228186 | Robert Daniel Wood | Nurse Practitioner | 411 E 450 S, Santaquin, UT 84655-8059 | 2012-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204590 | Gabrielle Sleater Lewis | Nurse Practitioner | 2905 S Mcclelland St, Salt Lake City, UT 84106-2125 | 2020-11-01 |
| 1164021721 | Mistie Sue Manning | Nurse Practitioner | 1551 Renaissance Towne Dr Ste 370, Bountiful, UT 84010-7675 | 2020-10-23 |
| 1023617404 | Michaelle Lei Spears | Nurse Practitioner | 922 W Baxter Dr, South Jordan, UT 84095-8613 | 2020-10-18 |
| 1649878935 | Kecia Kristine Chandler | Nurse Practitioner | 285 N Main St Unit 692, Kaysville, UT 84037-6027 | 2020-10-09 |
| 1386251742 | Jennifer Lynn Castillo | Nurse Practitioner | 280 S 9500 E, Huntsville, UT 84317-9766 | 2020-09-29 |
| 1174130629 | Jessica Noel Wagner | Nurse Practitioner | 12828 S 3600 W Ste 101, Riverton, UT 84065-6853 | 2020-09-29 |
| 1962019596 | Freya Kristen Landesman | Nurse Practitioner | 60 E South Temple Ste 300, Salt Lake City, UT 84111-1041 | 2020-09-28 |
| 1750998860 | Jeremy Llewellyn | Nurse Practitioner | 395 W Cougar Blvd Fl 5, Provo, UT 84604-3323 | 2020-09-24 |
| 1861005688 | Cara Susan Jones Ahlstrom | Nurse Practitioner | 81 N Havenwood Dr, Kaysville, UT 84037-6881 | 2020-08-31 |
| 1568075604 | Michelle L Davis | Nurse Practitioner | 24 S 1100 E Ste 305, Salt Lake City, UT 84102-4500 | 2020-08-28 |
| 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.