TESSA NELL (NPI# 1285260232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285260232 |
| Entity Type | Individual |
| Full Name | TESSA NELL |
| Credential | MD |
| Practice Address |
475 W 940 N Provo UT 84604-3301 |
| Mailing Address |
4859 W Park Wood Ct West Jordan UT 84081-3615 |
| Practice Telephone | 8018247018 |
| Mailing Telephone | 8018247018 |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2020-03-20 |
| Gender Code | F |
| 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 |
475 W 940 N |
| City | PROVO |
| State | UT |
| Zip Code | 84604-3301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760598411 | Nicole Anne Clark | Family Medicine | 475 W 940 N, Provo, UT 84604-3301 | 2006-08-22 |
| 1093343980 | Matias A Calquin | Student in an Organized Health Care Education/Training Program | 475 W 940 N, Provo, UT 84604-3301 | 2020-03-28 |
| 1740817535 | Sean Alton Kiesel | Student in an Organized Health Care Education/Training Program | 475 W 940 N, Provo, UT 84604-3301 | 2020-03-24 |
| 1760019699 | Cameron G Smith | Student in an Organized Health Care Education/Training Program | 475 W 940 N, Provo, UT 84604-3301 | 2020-03-23 |
| 1578199592 | Jessica Fullmer | Student in an Organized Health Care Education/Training Program | 475 W 940 N, Provo, UT 84604-3301 | 2020-03-21 |
| 1154957207 | Andrew Reid Smith | Student in an Organized Health Care Education/Training Program | 475 W 940 N, Provo, UT 84604-3301 | 2020-03-20 |
| 1922634971 | Brady Monte Hansen | Student in an Organized Health Care Education/Training Program | 475 W 940 N, Provo, UT 84604-3301 | 2020-03-20 |
| 1952861288 | Daniel Payne | Family Medicine | 475 W 940 N, Provo, UT 84604-3301 | 2019-03-22 |
| 1063971240 | Matthew Edwards Potter | Family Medicine | 475 W 940 N, Provo, UT 84604-3301 | 2019-03-18 |
| 1548729734 | Brent Wells Lambson | Family Medicine | 475 W 940 N, Provo, UT 84604-3301 | 2019-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| 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 |
|---|---|---|---|---|
| 1578180006 | Logan Mock | Student in an Organized Health Care Education/Training Program | 547 W 200 N # 2, Provo, UT 84601-2659 | 2020-06-30 |
| 1689295131 | Cajin Rain Christianson Savage | Student in an Organized Health Care Education/Training Program | 717 E 3230 N, Provo, UT 84604-4727 | 2020-05-06 |
| 1336783414 | Mckenzie Christine Cunningham | Student in an Organized Health Care Education/Training Program | 151 E 300 N Apt 12, Provo, UT 84606-2985 | 2019-11-01 |
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1891298238 | Andrew Ray | Student in an Organized Health Care Education/Training Program | 1526 W 1730 N, Provo, UT 84604-1707 | 2018-03-12 |
| 1760917702 | Stephen Alefaio Adams | Student in an Organized Health Care Education/Training Program | 1189 E 300 N, Provo, UT 84606-3539 | 2017-04-27 |
| 1821535022 | Haelly Kirk | Student in an Organized Health Care Education/Training Program | 1724 N 450 W, Apt 208, Provo, UT 84604-1480 | 2017-01-25 |
| 1477097509 | James Ahuna | Student in an Organized Health Care Education/Training Program | 778 E 560 N Apt 108, Provo, UT 84606-2140 | 2016-12-08 |
| 1255786976 | Justin Zamora | Student in an Organized Health Care Education/Training Program | 223 W Bulldog Blvd, #506, Provo, UT 84604-2546 | 2016-05-01 |
| 1447611595 | Robert Shirley | Student in an Organized Health Care Education/Training Program | 750 North 200 West, Provo, Ut 84601., Provo, UT 84601 | 2016-03-17 |
| Find all providers in PROVO | ||||
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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.