KYLIE STUBBS (NPI# 1376065391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376065391 |
Entity Type | Individual |
Full Name | KYLIE STUBBS |
Practice Address |
344 E 100 S Ste 301 Salt Lake City UT 84111-1727 |
Mailing Address |
6112 S Hazelhurst Dr Taylorsville UT 84129-5112 |
Practice Telephone | 8013224257 |
Enumeration Date | 2017-07-11 |
Last Update Date | 2017-07-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 372600000X | Adult Companion | UT | Nursing Service Related Providers |
Street Address |
344 E 100 S STE 301 |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84111-1727 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649451642 | Eric John Schmidt | Social Worker | 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 | 2007-11-18 |
1992311906 | Chris Aaron Johns | Case Manager/Care Coordinator | 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 | 2020-09-16 |
1366057770 | Jacqualine Long | Case Manager/Care Coordinator | 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 | 2020-09-11 |
1992316699 | Michael Dandin | Counselor | 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 | 2020-08-14 |
1265043954 | Soana Talau Kelepi | Case Manager/Care Coordinator | 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 | 2020-08-14 |
1528678166 | Lori Frances Ili | Case Manager/Care Coordinator | 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 | 2020-08-07 |
1558971234 | Cristie Anderson | Case Manager/Care Coordinator | 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 | 2020-08-06 |
1629687884 | Kinley Ashton Millett | Case Manager/Care Coordinator | 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 | 2020-07-23 |
1225646565 | Denise Lee Tolbert | Case Manager/Care Coordinator | 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 | 2020-07-22 |
1437767068 | Tammy Checketts | Case Manager/Care Coordinator | 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 | 2020-07-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316551336 | Mary Ann Rush | Case Manager/Care Coordinator | 334 E. 100 S., Slc, UT 84111 | 2020-09-08 |
1790396554 | Stephanie G Mishenko | Military Health Care Provider | 344e 100s, Slc, UT 84111 | 2020-08-13 |
1386264802 | Mckensee M Carter | Case Manager/Care Coordinator | 334 E 100 S, Salt Lake City, UT 84111 | 2020-04-24 |
1316421761 | Community Health Centers, Inc. | Social Worker | 610 S 200 E Ste #b, Salt Lake City, UT 84111 | 2018-09-21 |
1528545506 | Lauren Brittney Harman | Case Manager/Care Coordinator | 344 E. 100 S., Salt Lake City, UT 84111 | 2018-07-23 |
1851896484 | Shivani Chowdhary | Dentist | 370 E South Temple Ste 350, Salt Lake City, UT 84111 | 2018-03-26 |
1801390661 | Jaylee Marie Watman | Case Manager/Care Coordinator | 344 E. 100 S. Ste 301, Salt Lake City, UT 84111 | 2018-03-19 |
1467963918 | Victoira Julia Graham | Case Management | 344 East 100 South Ste 301, Salt Lake City, UT 84111 | 2017-10-23 |
1750805404 | Kayla Hymas | Behavioral Analyst | 243 E. 400 S., Slc, UT 84111 | 2017-08-02 |
1134643224 | Julie Peaslee | Counselor | 275 E South Temple Ste 110, Salt Lake City, UT 84111 | 2017-07-31 |
Find all providers in zip 84111 |
Taxonomy Code | 372600000X |
Grouping | Nursing Service Related Providers |
Classification | Adult Companion |
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083986947 | Access Private Duty, LLC | Adult Companion | 3080 Richmond St Apt 106, Salt Lake City, UT 84106-3087 | 2012-02-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760711725 | Home Comfort Care LLC. | Adult Companion | 672 E. 1625 S., Kaysville, UT 84037 | 2009-12-21 |
City | SALT LAKE CITY |
Zip Code | 84111 |
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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.