CALLIE HEDDLESTEN (NPI# 1194212514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194212514 |
| Entity Type | Individual |
| Full Name | CALLIE HEDDLESTEN |
| Practice Address |
4444 S 700 E Murray UT 84107-3075 |
| Mailing Address |
4444 S 700 E Ste 203 Murray UT 84107-3075 |
| Practice Telephone | 8012684887 |
| Mailing Telephone | 8012684887 |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2018-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | Other Service Providers | ||
| Y | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
4444 S 700 E |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-3075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750673836 | Ben Andrus | Community Health Worker | 4444 S 700 E, Suite 203, Murray, UT 84107-3075 | 2011-05-09 |
| 1972895290 | Community Treatment Alternatives | Behavioral Analyst | 4444 S 700 E, Suite 203, Murray, UT 84107-3075 | 2011-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790282424 | Michael William Jones II | Specialist/Technologist, Other | 4444 S 700 E Ste 203, Murray, UT 84107-3075 | 2018-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1225563703 | Kristen Haslam | Specialist/Technologist, Other | 13947 S Newburg Dr., Herriman, UT 84096 | 2017-04-21 |
| 1366805020 | Adam Ward | Specialist/Technologist, Other | 455 N 400 E, Salt Lake City, UT 84103-1230 | 2016-03-31 |
| 1659669919 | Innovasis Neurological, Inc | Specialist/Technologist, Other | 614 E 3900 S, Salt Lake City, UT 84107-1902 | 2011-07-20 |
| 1265720528 | Sentinel Neuromonitoring, LLC | Specialist/Technologist, Other | 75 E 7200 S Ste C163, Midvale, UT 84047-5757 | 2011-07-20 |
| 1487294674 | Max Strasburger | Specialist/Technologist, Other | 4444 S 700 E Ste 203, Salt Lake City, UT 84107-3075 | 2020-01-15 |
| 1477193662 | Aileen Casas | Specialist/Technologist, Other | 4444 S 700 E Ste 203, Salt Lake City, UT 84107-3075 | 2020-01-15 |
| 1518507706 | Ryan Leister | Specialist/Technologist, Other | 4444 S 700 E Ste 203, Salt Lake City, UT 84107 | 2020-01-15 |
| 1780224972 | Jake Beede | Specialist/Technologist, Other | 4444 S 700 E Ste 203, Salt Lake City, UT 84107-3075 | 2020-01-15 |
| 1881240471 | Christine Casper | Specialist/Technologist, Other | 4444 S 700 E Ste 203, Salt Lake City, UT 84107-3075 | 2019-08-10 |
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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.