DOMINIQUE MORTENSEN


Address: 475 W 260 N, Orem, UT 84057-1970
Phone: 8012219930

DOMINIQUE MORTENSEN (NPI# 1386196715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386196715
Entity Type Individual
Full Name DOMINIQUE MORTENSEN
Practice Address 475 W 260 N
Orem
UT 84057-1970
Practice Telephone 8012219930
Enumeration Date 2016-11-02
Last Update Date 2016-11-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 247200000X Technician, Other Technologists, Technicians & Other Technical Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
UT 1396085718 05

Office Location

Street Address 475 W 260 N
City OREM
State UT
Zip Code 84057-1970

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093746943 Kids On The Move, Inc. Day Training, Developmentally Disabled Services 475 W 260 N, Orem, UT 84057-1970 2006-07-06
1518568641 Vedana Leidy Gaul Behavior Technician 475 W 260 N, Orem, UT 84057-1970 2020-11-04
1982205357 Carol Tonga Behavior Technician 475 W 260 N, Orem, UT 84057-1970 2020-11-03
1457951881 Hannah Kathryn Disney Behavior Technician 475 W 260 N, Orem, UT 84057-1970 2020-10-26
1073111704 Ruth Talbot Behavior Technician 475 W 260 N, Orem, UT 84057-1970 2020-10-14
1588271134 Jess Nussbaum Behavior Technician 475 W 260 N, Orem, UT 84057-1970 2020-09-28
1568075323 James S Ng Behavior Technician 475 W 260 N, Orem, UT 84057-1970 2020-08-30
1932712585 Emily Smith Carol Smith Behavior Technician 475 W 260 N, Orem, UT 84057-1970 2020-08-24
1194338715 Camyll Broadhead Behavior Technician 475 W 260 N, Orem, UT 84057-1970 2020-08-24
1760093280 Miiko Masse Behavior Technician 475 W 260 N, Orem, UT 84057-1970 2020-08-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013529932 Jessica Chang Social Worker 870 W, Center, UT 84057 2020-08-21
1750991402 Dr. Alexander B. Larsen Dds Dentist 385 W. Center Street, Orem, UT 84057 2020-08-07
1750911996 Joanna Ramirez Behavioral Analyst 1443 West 800 North #103, Orem, UT 84057 2020-01-15
1790321842 Nicole Rose Mcdougal Speech-Language Pathologist 527 400 N, Ste 2, Orem, UT 84057 2019-11-25
1871151837 Robert B Fujiki Speech-Language Pathologist 1935 N90 W, Orem, UT 84057 2019-06-04
1669965562 Brian Quigley Inc. Hearing Instrument Specialist 895 West Center Street, Orem, UT 84057 2018-06-14
1568960250 Catherine Collins Nurse Practitioner 700 W. 800 N., Suite 220, Orem, UT 84057 2018-01-27
1821596073 Venice Lucia Wilkes Physician Assistant 700 W 800 N # 220, Orem, UT 84057 2018-01-23
1851811160 Jessie Carlson Behavior Technician 475 West 260 North, Orem, UT 84057 2017-06-27
1588013890 Li Ping Su Marriage & Family Therapist 1027 W 1033 N, S108, Orem, UT 84057 2016-06-07
Find all providers in zip 84057

Taxonomy Information

Taxonomy Code 247200000X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Technician, Other

Taxonomy Definition

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891264701 Brynna Lynn Tanner Technician, Other 1875 S Geneva Rd, Orem, UT 84058-2217 2018-11-20
1790228104 Cheryl Bell Technician, Other 475 W 260 N, Orem, UT 84057-1970 2016-12-02
1558803957 Adam Hunt Technician, Other 475 W 260 N, Orem, UT 84057-1970 2016-11-16
1760934509 Crystal Hill Technician, Other 475 W 260 N, Orem, UT 84057-1970 2016-10-27
1447702329 Megan Adams Technician, Other 475 W 260 N, Orem, UT 84057-1970 2016-10-26
1861840902 Madyline Spencer Technician, Other 475 W 260 N, Orem, UT 84057-1970 2016-05-31
1013365170 Joshua Woolstenhulme Technician, Other 475 W 260 N, Orem, UT 84057-1970 2016-05-31
1396193421 Mckenzi Davis Technician, Other 475 W 260 N, Orem, UT 84057-1970 2016-05-31
1144678277 Lucy Morgan Technician, Other 475 W 260 N, Orem, UT 84057-1970 2016-05-31
1245688324 Christine Spicker Technician, Other 475 W 260 N, Orem, UT 84057-1970 2016-05-30
Find all providers in OREM

Competitor

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City OREM
Zip Code 84057

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Dataset Information

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.

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