MICK JUAREZ (NPI# 1205446978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205446978 |
| Entity Type | Individual |
| Full Name | MICK JUAREZ |
| Practice Address |
255 E Center St Ivins UT 84738-6790 |
| Practice Telephone | 4352221236 |
| Mailing Telephone | 4352221236 |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
255 E CENTER ST |
| City | IVINS |
| State | UT |
| Zip Code | 84738-6790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639274574 | Mark Lee Wardle | Family Medicine | 255 E Center St, Ivins, UT 84738 | 2006-09-14 |
| 1558989798 | Juhyun Lee | Student in an Organized Health Care Education/Training Program | 255 E Center St, Ivins, UT 84738-6790 | 2020-07-13 |
| 1205461373 | Haley Rachel Shumway | Student in an Organized Health Care Education/Training Program | 255 E Center St, Ivins, UT 84738-6790 | 2020-03-09 |
| 1518592682 | Taylor James Van Leeuwen | Student in an Organized Health Care Education/Training Program | 255 E Center St, Ivins, UT 84738-6790 | 2020-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366783466 | Avalon Care Center - Va Ivins, LLC | Skilled Nursing Facility | 160 North 200 East, Ivins, UT 84738 | 2013-03-14 |
| 1801063441 | Paiute Indian Tribe of Utah | Clinic/Center | 3705 N 6100 W, Ivins, UT 84738 | 2008-05-13 |
| 1083670459 | Raymond Jack Middleton | Family Medicine | 653 South 170 West, Ivins, UT 84738 | 2006-04-25 |
| 1447655063 | Heather Reynolds | Physician Assistant | 3705 N 6100 W, Ivins, UT 84738 | 2014-10-24 |
| 1558590539 | Paiute Indian Tribe of Utah | Prosthetic/Orthotic Supplier | 3705 N 6100 W, Ivins, UT 84738 | 2009-07-10 |
| 1316182678 | Scott Robert Moore | Massage Therapist | 565 S 250 E, Ivins, UT 84738-5010 | 2008-12-15 |
| 1700331162 | At Home Care and Health Services | In Home Supportive Care | 639 S 315 E, Ivins, UT 84738-5054 | 2016-08-16 |
| 1609315431 | At Home Care and Health Services LLC | Private Vehicle | 639 S 315 E, Ivins, UT 84738-5054 | 2017-02-13 |
| 1841515889 | Donna Alexander | Speech-Language Pathologist | 302 S 380 W, Ivins, UT 84738-5104 | 2010-04-01 |
| 1649353822 | Superior Audiology Inc | Audiologist | 920 Mesa Vista Dr, Ivins, UT 84738-6027 | 2006-10-23 |
| Find all providers in zip 84738 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558989798 | Juhyun Lee | Student in an Organized Health Care Education/Training Program | 255 E Center St, Ivins, UT 84738-6790 | 2020-07-13 |
| 1205461373 | Haley Rachel Shumway | Student in an Organized Health Care Education/Training Program | 255 E Center St, Ivins, UT 84738-6790 | 2020-03-09 |
| 1518592682 | Taylor James Van Leeuwen | Student in an Organized Health Care Education/Training Program | 255 E Center St, Ivins, UT 84738-6790 | 2020-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205829 | Brittany Nicole Beverly | Student in an Organized Health Care Education/Training Program | 236 N Sun Arbor Ter Apt 2111, Salt Lake City, UT 84116-4537 | 2020-11-06 |
| 1649871617 | Brian Anders Johnson | Student in an Organized Health Care Education/Training Program | 720 S River Rd Ste B105, St George, UT 84790-5704 | 2020-11-05 |
| 1336740505 | Benjamin H Reece | Student in an Organized Health Care Education/Training Program | 191 N Clark Ln, Elk Ridge, UT 84651-9550 | 2020-11-04 |
| 1538760061 | Joshua Ty Winters | Student in an Organized Health Care Education/Training Program | 3691 W Pure Nirvana Ln, Herriman, UT 84096-2617 | 2020-11-02 |
| 1972103885 | Ryan James Larsen | Student in an Organized Health Care Education/Training Program | 1786 N Main St, Centerville, UT 84014-1133 | 2020-10-29 |
| 1134727142 | Jonathon Cahoon | Student in an Organized Health Care Education/Training Program | 10604 N 5550 W, Highland, UT 84003-8903 | 2020-10-12 |
| 1396342713 | Katrina Poulsen | Student in an Organized Health Care Education/Training Program | 617 East Rriverside Dr, Ste 301, St. George, UT 84790 | 2020-10-08 |
| 1558968529 | Raul G Betancourt-perez | Student in an Organized Health Care Education/Training Program | 151 Coventry Pl, Logan, UT 84341-1998 | 2020-10-02 |
| 1386241560 | Rebecca Nay | Student in an Organized Health Care Education/Training Program | 4052 West 3390 South, Suite 105, West Valley City, UT 84120-2049 | 2020-10-01 |
| 1730793852 | Katrina Rose Emery | Student in an Organized Health Care Education/Training Program | 1374 E Willow Vista Dr, Sandy, UT 84093-6644 | 2020-09-04 |
| 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.