BEVERLY BERRETT (NPI# 1255784260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255784260 |
| Entity Type | Individual |
| Full Name | BEVERLY BERRETT |
| Practice Address |
285 W 800 S Roosevelt UT 84066-3707 |
| Mailing Address |
1140 W 500 S Ste 9 Vernal UT 84078-2912 |
| Practice Telephone | 4357256300 |
| Practice Fax Number | 4357256325 |
| Mailing Telephone | 4357256300 |
| Mailing Fax Number | 4357256325 |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2016-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
285 W 800 S |
| City | ROOSEVELT |
| State | UT |
| Zip Code | 84066-3707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003999277 | Theresa J Ingram | Social Worker | 285 W 800 S, Roosevelt, UT 84066-3707 | 2006-10-23 |
| 1457983819 | Chet David Stevens | Social Worker | 285 W 800 S, Roosevelt, UT 84066-3707 | 2020-02-04 |
| 1477195303 | Megan D'on Berlin | Social Worker | 285 W 800 S, Roosevelt, UT 84066-3707 | 2019-10-11 |
| 1013577329 | Carrie Anne Wallace | Social Worker | 285 W 800 S, Roosevelt, UT 84066-3707 | 2019-06-18 |
| 1528624533 | Candice Berg | Counselor | 285 W 800 S, Roosevelt, UT 84066-3707 | 2019-05-15 |
| 1740740232 | Kristin Solomon | Case Manager/Care Coordinator | 285 W 800 S, Roosevelt, UT 84066-3707 | 2019-03-21 |
| 1679030456 | Lindsey Grace Garlick | Case Manager/Care Coordinator | 285 W 800 S, Roosevelt, UT 84066-3707 | 2019-02-27 |
| 1376017905 | Ginger Casper | Peer Specialist | 285 W 800 S, Roosevelt, UT 84066-3707 | 2019-01-16 |
| 1508357294 | Rachel Henrie | Case Manager/Care Coordinator | 285 W 800 S, Roosevelt, UT 84066-3707 | 2018-05-29 |
| 1568966331 | Vincent Louis Reiley | Case Manager/Care Coordinator | 285 W 800 S, Roosevelt, UT 84066-3707 | 2018-03-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477075315 | Annemarie Rousseau | Registered Nurse | 250 West 300 North, Roosevelt, UT 84066 | 2017-07-12 |
| 1780036772 | Drew Gilley | Dentist | 375 E Lagoon St, Roosevelt, Ut 84066, Roosevelt, UT 84066 | 2016-07-01 |
| 1952758039 | Amanda Adams | Massage Therapist | 1151 East Hwy 40, Ballard, UT 84066 | 2016-05-19 |
| 1447624325 | Gregory George Page | Dentist | 209 West 200 North 71-2, Roosevelt, UT 84066 | 2015-11-16 |
| 1659785772 | Becky Ann Birch | Nurse Practitioner | 200 West 350 North, Ste 103, Roosevelt, UT 84066 | 2014-06-17 |
| 1760724280 | Novo Ranch LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3549 W 1000 North, Roosevelt, UT 84066 | 2013-03-22 |
| 1508110040 | Uintah Basin Spine and Disc Center, PC | Rehabilitation Unit | 1151 East Highway 40, Roosevelt, UT 84066 | 2012-11-06 |
| 1184918682 | Alvaro Beltran | Dentist | Ave. Lopez Mateos 171-4, Nogales, SONORA 84066 | 2011-06-02 |
| 1255638367 | Cosme Cantu | Dentist | Blvd. El Greco #45 Int. J-14, Nogales, SONORA 84066 | 2011-02-25 |
| 1740482009 | Northeastern Utah Medical Group | Durable Medical Equipment & Medical Supplies | 210 W 300 N 75 3, Roosevelt, UT 84066 | 2007-05-31 |
| Find all providers in zip 84066 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376017905 | Ginger Casper | Peer Specialist | 285 W 800 S, Roosevelt, UT 84066-3707 | 2019-01-16 |
| 1427567007 | Lynda Rae Scholes | Peer Specialist | 285 W 800 S, Roosevelt, UT 84066-3707 | 2017-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043819600 | Devin J Morrison | Peer Specialist | 230 W 200 S Unit 142, Salt Lake City, UT 84110-6006 | 2020-10-23 |
| 1104423532 | Chante Colvin | Peer Specialist | 3638 Sugar Leo Rd, St George, UT 84790-7452 | 2020-10-08 |
| 1518579077 | Henry Matthews | Peer Specialist | 474 N Grant St, Salt Lake City, UT 84116-2726 | 2020-08-17 |
| 1508497892 | Jamie Len Griffin | Peer Specialist | 256 W 100 S, Logan, UT 84321-5231 | 2020-01-27 |
| 1295370013 | Amber Chandler | Peer Specialist | 15257 S Scenic Crest Cir, Bluffdale, UT 84065-5076 | 2019-11-15 |
| 1780232272 | Billie Jo Burnett | Peer Specialist | 1429 N 1200 W, Orem, UT 84057-2449 | 2019-08-28 |
| 1669025227 | Ryan Ballard | Peer Specialist | 589 E 8680 S, Sandy, UT 84070-1779 | 2019-07-22 |
| 1134780042 | Michael James Olsen | Peer Specialist | 344 E 100 S Ste 301300, Salt Lake City, UT 84111-1700 | 2019-06-23 |
| 1659836393 | Brittney Emi Vaovasa | Peer Specialist | 252 W Brooklyn Ave, Salt Lake City, UT 84101-3024 | 2019-02-06 |
| 1699278366 | John Carlos Gonzales | Peer Specialist | 7873 S Chadbourne Dr, Cottonwood Heights, UT 84121-5806 | 2018-03-08 |
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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.