ALISA ALEXANDRIA MESHKOVA (NPI# 1275014169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275014169 |
| Entity Type | Individual |
| Full Name | ALISA ALEXANDRIA MESHKOVA |
| Practice Address |
3809 W 6200 S Kearns UT 84124 |
| Mailing Address |
4460 S Highland Dr Salt Lake City UT 84124-3503 |
| Practice Telephone | 8889494864 |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2018-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
3809 W 6200 S |
| City | KEARNS |
| State | UT |
| Zip Code | 84124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154806503 | Sterling Rossiter Goodwin | Case Manager/Care Coordinator | 3809 W 6200 S, Kearns, UT 84118 | 2018-10-02 |
| 1073018545 | Kendra Johnson | Technician, Pathology | 3809 W 6200 S, Kearns, UT 84081 | 2018-03-27 |
| 1629367396 | Robert Morrison James | Social Worker | 3809 W 6200 S, Building 3791, Kearns, UT 84118-3725 | 2011-04-04 |
| 1952609216 | Bradford Woolston | Counselor | 3809 W 6200 S, Kearns, UT 84118-3725 | 2011-03-09 |
| 1558679621 | Nichole Hill | Social Worker | 3809 W 6200 S, Kearns, UT 84118-3725 | 2010-09-22 |
| 1003124314 | Varonica Lyn Little | Social Worker | 3809 W 6200 S, Kearns, UT 84118-3725 | 2010-09-21 |
| 1447441464 | Cora Michelle Peterson | Counselor | 3809 W 6200 S, Kearns, UT 84118-3725 | 2007-08-06 |
| 1023074556 | Valley Mental Health Incorporated | Counselor | 3809 W 6200 S, Kearns, UT 84118-3725 | 2006-04-24 |
| 1386607042 | Jared Rockwood | Social Worker | 3809 W 6200 S, Kearns, UT 84118-3725 | 2006-04-11 |
| 1811961279 | Arden L Weintraub | Psychiatry & Neurology | 3809 W 6200 S, Kearns, UT 84118-3725 | 2006-02-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487273298 | Shannon Penny Price | Social Worker | 4465 Maybeck Place, Condo C, Millcreek, UT 84124 | 2020-04-11 |
| 1922654367 | Joseph C Melvin Md PC | Colon & Rectal Surgery | 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 | 2019-08-12 |
| 1366923252 | Melanie Stumpf | Counselor | 1141 E 3900, Suite A170, Salt Lake City, UT 84124 | 2018-08-28 |
| 1376033993 | Michelle Flowers | Speech-Language Pathologist | 2120 East 3900 South, Ste 200, Holladay, UT 84124 | 2018-05-18 |
| 1740797257 | Lissa Anne Hutchings | Nurse Practitioner | 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 | 2018-01-05 |
| 1316465693 | Randy Gines | Counselor | 4460 S Highland Drive # 230, Murray, UT 84124 | 2017-09-06 |
| 1417470717 | Joshua Chandler Spencer | Counselor | 4460 South Highland Dr., 230, Murray, UT 84124 | 2017-07-19 |
| 1659891554 | Marcus Whitney | Counselor | 4460 S Highland Dr. # 230, Murray, UT 84124 | 2017-06-21 |
| 1518496884 | Courtney Nilson | Counselor | 4460 S. Highland Dr. #230, Murray, UT 84124 | 2017-06-08 |
| 1841687126 | Intrafilrx | Preferred Provider Organization | 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 | 2015-04-23 |
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| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225527500 | Hoan K Doan | Case Manager/Care Coordinator | 3809 West 6200 South, Kearns, UT 84118 | 2018-05-02 |
| 1154806503 | Sterling Rossiter Goodwin | Case Manager/Care Coordinator | 3809 W 6200 S, Kearns, UT 84118 | 2018-10-02 |
| 1235438656 | Kenna Lynne Salsberry | Case Manager/Care Coordinator | 5242 S 4820 W, Kearns, UT 84118-6422 | 2011-03-24 |
| 1669771093 | Cassandra Gat Westenskow | Case Manager/Care Coordinator | 5242 S 4820 W, Kearns, UT 84118-6422 | 2011-03-24 |
| 1407155823 | Ashley Noel Mullineaux | Case Manager/Care Coordinator | 5242 S 4820 W, Kearns, UT 84118-6422 | 2011-03-24 |
| 1669771085 | Carrie Yvonne Bartlett | Case Manager/Care Coordinator | 5242 S 4820 W, Kearns, UT 84118-6422 | 2011-03-24 |
| 1558660985 | Maria Fernanda Gonzalez | Case Manager/Care Coordinator | 5242 S 4820 W, Kearns, UT 84118-6422 | 2011-03-24 |
| 1700185139 | Jayne Alexander Christensen | Case Manager/Care Coordinator | 5242 S 4820 W, Kearns, UT 84118-6422 | 2011-03-24 |
| 1215236633 | Kumiko Isomichi Morse | Case Manager/Care Coordinator | 5242 S 4820 W, Kearns, UT 84118-6422 | 2011-03-24 |
| 1275832693 | Courtney Elizabeth Hudson | Case Manager/Care Coordinator | 5242 S 4820 W, Kearns, UT 84118-6422 | 2011-03-24 |
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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.