PHIL COLLINS (NPI# 1356858005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356858005 |
Entity Type | Individual |
Full Name | PHIL COLLINS |
Practice Address |
655 E 1300 N Logan UT 84341-2570 |
Practice Telephone | 4357926500 |
Mailing Telephone | 4357926500 |
Enumeration Date | 2018-01-03 |
Last Update Date | 2018-01-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers |
Street Address |
655 E 1300 N |
City | LOGAN |
State | UT |
Zip Code | 84341-2570 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578597647 | Edward Hunter Redd | Emergency Medicine | 655 E 1300 N, Logan, UT 84341 | 2006-07-11 |
1528669454 | Jana Olney | Registered Nurse | 655 E 1300 N, Logan, UT 84341-2570 | 2020-11-06 |
1780298059 | Holly Melinda Nielsen | Registered Nurse | 655 E 1300 N, Logan, UT 84341-2570 | 2020-09-03 |
1578181509 | Tehsa Ann Tolley | Registered Nurse | 655 E 1300 N, Logan, UT 84341-2570 | 2020-07-07 |
1760014765 | Charity Jenson | Health Educator | 655 E 1300 N, Logan, UT 84341-2570 | 2020-02-07 |
1477118107 | Bonnie Hart | Registered Nurse | 655 E 1300 N, Logan, UT 84341-2570 | 2019-05-08 |
1285124297 | Lisa Perkins | Registered Nurse | 655 E 1300 N, Logan, UT 84341-2570 | 2018-05-15 |
1982109575 | Ashley Nicole Mccollum | Registered Nurse | 655 E 1300 N, Logan, UT 84341-2570 | 2018-03-27 |
1194229773 | Kylee Cerila Sharp | Registered Nurse | 655 E 1300 N, Logan, UT 84341-2570 | 2018-03-20 |
1659888196 | Bear River District Health Dept | Health Educator | 655 E 1300 N, Logan, UT 84341-2570 | 2018-01-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538701529 | Aubrey Salmond | Registered Nurse | 500 East 1500 N, Logan, UT 84341 | 2019-10-11 |
1043702046 | Eye Pros of Logan LLC | Optometrist | 1475 N Main St Ste 103, Logan, UT 84341 | 2018-06-05 |
1275050452 | Rylie Jeanne Cook | Student in an Organized Health Care Education/Training Program | 11 Aggie Village Apt. J, Logan, UT 84341 | 2017-08-28 |
1093262156 | Jessica Lynn Mcgarry | Social Worker | 1040 N 130 W, Apt 100, Logan, UT 84341 | 2016-09-07 |
1740663566 | Paul R Gregory | Occupational Therapy Assistant | 1300 N 500 E Suite 120, Suite 120, Logan, UT 84341 | 2015-06-30 |
1851708846 | Bradley Budge | Optometrist | 535 E 1400 N Ste 130, Logan, UT 84341 | 2014-07-22 |
1386058709 | Daniel Raymond Carlson | Physician Assistant | 500 E. 1400 N., Logan, UT 84341 | 2014-06-13 |
1902220239 | Work Injury Solutions Inc. | Clinic/Center | 630 E 1400 N Ste 140, Logan, UT 84341 | 2014-02-06 |
1750627287 | Lee Martin Williams Sr. | Counselor | 186 E. 1800 N., North Logan, UT 84341 | 2013-01-03 |
1669747804 | Ronald J Payne | Internal Medicine | 1726 North 1850 East, North Logan, UT 84341 | 2012-03-21 |
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Taxonomy Code | 133NN1002X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Nutritionist |
Specialization | Nutrition, Education |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780191429 | Holly Budge | Nutritionist | 655 E 1300 N, Logan, UT 84341-2570 | 2018-01-03 |
1700393543 | Karlie Mitchell | Nutritionist | 655 E 1300 N, Logan, UT 84341-2570 | 2018-01-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548867625 | Carolyn S Junge | Nutritionist | I. J. & Jeanne Wagner Jewish Community Center, 2 North Medical Drive, Salt Lake City, UT 84113-8411 | 2020-10-02 |
1962885376 | Kristy Jo Hunt | Nutritionist | 7121 S Longitude Ln Unit A, West Jordan, UT 84084-7483 | 2015-07-02 |
1972993855 | Sinead Urwin | Nutritionist | 2168 S Preston St, Salt Lake City, UT 84106-4111 | 2015-01-29 |
1609140649 | Karni Inc | Nutritionist | 2376 Scenic Dr, Salt Lake City, UT 84109-1433 | 2012-03-07 |
1669789582 | Gina Vanluven | Nutritionist | 8813 Cheyenne Way, Park City, UT 84098-5854 | 2010-09-13 |
1932339975 | Samantha L Matz | Nutritionist | 7686 Sunset Cir, West Jordan, UT 84084-3789 | 2009-07-24 |
1760661300 | Deon Jaye Gines | Nutritionist | 1883 S 900 E, Bountiful, UT 84010-2341 | 2007-10-31 |
1073120606 | Jensen Eyre | Nutritionist | 34 S 500 E Ste 202, Salt Lake City, UT 84102-1094 | 2020-09-28 |
1780221390 | Emilie Davis | Nutritionist | 347 N 300 W Ste 203, Kaysville, UT 84037-1828 | 2019-12-02 |
1073179404 | Natalie Yorgesen | Nutritionist | 135 N Main St, Pleasant Grove, UT 84062-2239 | 2019-05-10 |
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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.