MRS. ALICE FERN WYNN (NPI# 1346574910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346574910 |
| Entity Type | Individual |
| Full Name | MRS. ALICE FERN WYNN |
| Credential | MA |
| Practice Address |
70 N Main St Suite 103 Bountiful UT 84010-6101 |
| Mailing Address |
1033 S Millbrook Way Bountiful UT 84010-2056 |
| Practice Telephone | 8012985222 |
| Practice Fax Number | 8012940295 |
| Mailing Telephone | 8012430539 |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2009-09-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6497798-6004 | UT | Behavioral Health & Social Service Providers |
| Street Address |
70 N MAIN ST SUITE 103 |
| City | BOUNTIFUL |
| State | UT |
| Zip Code | 84010-6101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225325954 | Adam Barry Rudd | Optometrist | 70 N Main St, Bountiful, UT 84010-6101 | 2011-07-01 |
| 1538359203 | Vision Share LLC | Optometrist | 70 N Main St, Suite 102, Bountiful, UT 84010-6101 | 2007-07-30 |
| 1447271721 | Daniel Wayne Pace | Optometrist | 70 N Main St, Suite 102, Bountiful, UT 84010-6101 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225699192 | Jessyca K Willie | Behavior Technician | 415 S. Medical Drive Suite D101, Bountiful, UT 84010 | 2019-06-21 |
| 1336634344 | Shanna Joy Jaggers | Social Worker | 2333 S 200 E, Bountiful, UT 84010 | 2018-06-22 |
| 1447773171 | Live Life Alarms | Emergency Response System Companies | 640 South 500 West, Bountiful, UT 84010 | 2017-07-25 |
| 1902328842 | Hailey Embley | Behavior Technician | 415 Medical Drive D 101, Bountiful, UT 84010 | 2017-07-12 |
| 1508318031 | Beverly Nielsen | Psychologist | 1001 Lakeview Drive, Bountiful, UT 84010 | 2016-11-01 |
| 1295287720 | Samantha Oslund | Speech-Language Pathologist | 415 Medical Dr Ste B102, Bountiful, UT 84010 | 2016-11-01 |
| 1750748273 | Jeremy Clark Morris | Dentist | 59 W 1600 N, Suite 110, Bountiful, UT 84010 | 2016-01-28 |
| 1629464706 | Shane James | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010 | 2015-04-15 |
| 1891186102 | Kenton Francis | Social Worker | 1355 North Main Street #1, Bountiful, UT 84010 | 2015-02-09 |
| 1205233855 | Modern Dental Professionals - Utah, PC | Dentist | 24 S. 500 West, #a, Bountiful, UT 84010 | 2014-11-25 |
| Find all providers in zip 84010 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447534268 | Nathan Mark Peterson | Counselor | 1459 N Main St, Bountiful, UT 84010-6092 | 2011-09-29 |
| 1790837771 | Richard John Schuurman | Counselor | 545 W. 500 S. #110, Bountiful, UT 84010-8105 | 2007-01-18 |
| 1730239534 | Rebecca P Andrews | Counselor | 1355 No Main, Ste 1, Bountiful, UT 84010 | 2007-01-12 |
| 1346269917 | John Orville Waterbury | Counselor | 52 Boulton Way, Bountiful, UT 84010-6471 | 2006-07-18 |
| 1265404479 | Laurel D Pate | Counselor | 545 W 500 S, Suite 110, Bountiful, UT 84010-8105 | 2006-02-02 |
| 1396186698 | Sunrise Therapy, LLC | Counselor | 845 S Main St, Suite A3, Bountiful, UT 84010-6381 | 2013-07-15 |
| 1588821011 | Resilient Solutions, Inc. | Counselor | 1355 N Main St Ste 1, Bountiful, UT 84010-5982 | 2008-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154928919 | Frederick Charles Danneman IIi | Counselor | 2059 E 3900 S, Millcreek, UT 84124-1747 | 2020-10-05 |
| 1669084661 | Adrianne Mason | Counselor | 1580 N Hillside Dr, Genola, UT 84655-5066 | 2020-08-20 |
| 1467079509 | Misty Michelle Rosier | Counselor | 3329 W 1400 S, Ogden, UT 84401-9704 | 2020-07-05 |
| 1588200760 | Kelly Morse Counseling, LLC | Counselor | 1092 E 255 S, Layton, UT 84041-4496 | 2019-11-21 |
| 1083258867 | Kim Regina Williams - Redmond | Counselor | 1366 S Legend Hills Dr Ste 130, Clearfield, UT 84015-2373 | 2019-11-04 |
| 1205483609 | Wesley C Bruce | Counselor | 387 N 300 W, Cedar City, UT 84721-3547 | 2019-08-20 |
| 1679128599 | Flourish Therapy Inc | Counselor | 1426 E 820 N, Orem, UT 84097-5481 | 2019-08-07 |
| 1902368640 | Jennifer Elizabeth | Counselor | 1583 S 1600 E, Salt Lake City, UT 84105-2829 | 2019-04-02 |
| 1487114138 | Kara Kristine Groicher | Counselor | 525 E 100 S Ste 320, Salt Lake City, UT 84102-4210 | 2019-03-20 |
| 1174088777 | William Lasley Davis | Counselor | 2365 S 5900 W, Mendon, UT 84325-9743 | 2019-02-07 |
| 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.