MADYSON LYNN POMEROY


Address: 230 W 200 S # 142, Salt Lake City, UT 84101-1337
Phone: 8014332595

MADYSON LYNN POMEROY (NPI# 1386243244) 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) 1386243244
Entity Type Individual
Full Name MADYSON LYNN POMEROY
Practice Address 230 W 200 S # 142
Salt Lake City
UT 84101-1337
Practice Telephone 8014332595
Mailing Telephone 8014332595
Enumeration Date 2020-10-21
Last Update Date 2020-10-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Office Location

Street Address 230 W 200 S # 142
City SALT LAKE CITY
State UT
Zip Code 84101-1337

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457907776 Christina Lee Oppenheimer Case Manager/Care Coordinator 230 W 200 S # 142, Salt Lake City, UT 84101-1337 2019-08-13
1922609320 Teri Christensen Peer Specialist 230 W 200 S # 142, Salt Lake City, UT 84101-1337 2020-11-03
1821698713 Kim Katherine Stephens Peer Specialist 230 W 200 S # 142, Salt Lake City, UT 84101-1337 2020-10-29
1124628268 Amber Wilkins I Peer Specialist 230 W 200 S # 142, Salt Lake City, UT 84101-1337 2020-10-28
1811596885 Kaylie A Larsen Peer Specialist 230 W 200 S # 142, Salt Lake City, UT 84101-1337 2020-10-21
1720687650 Kori Foote Peer Specialist 230 W 200 S # 142, Salt Lake City, UT 84101-1337 2020-10-21
1699374520 Sarah Olsen Peer Specialist 230 W 200 S # 142, Salt Lake City, UT 84101-1337 2020-10-21
1447859384 Ashley Warby Peer Specialist 230 W 200 S # 142, Salt Lake City, UT 84101-1337 2020-10-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053804237 Holly Smith Registered Nurse 1020 S Main Street, Salt Lake City, UT 84101 2018-06-12
1174999627 Justin Williams Social Worker 155 W. 300 S., Salt Lake City, UT 84101 2015-08-19
1902291842 Daryl Ray Ezidore Student in an Organized Health Care Education/Training Program 100 South 344 East, Salt Lake City, UT 84101 2015-03-30
1104190859 Luxottica of America Inc. Eyewear Supplier (Equipment, not the service) 50 S Main St Ste 115, Salt Lake City, UT 84101 2012-02-28
1366713307 Gonstead Family Chiropractic Chiropractor 1154 S. 300 W., Suite C, Salt Lake City, UT 84101 2012-01-23
1659544880 Jeffrey Daniel Registered Nurse 404 South 400 West, Salt Lake City, UT 84101 2008-04-09
1306030580 Christopher Dean Chapman Chiropractor 345 W 100 S Ste 6c, Salt Lake City, UT 84101 2007-08-30
1689713497 Walter Landon Bye Dentist 15 West South Temple, Gateway Tower West Suite 440, Salt Lake City, UT 84101 2007-02-06
1154403152 Allison Miller Gardner Physical Therapist 84 West 700 South, Salt Lake City, UT 84101 2006-10-19
1780655407 Frederick Van Der Veur Social Worker 1020 South Main Street, 242, Salt Lake City, UT 84101 2006-01-30
Find all providers in zip 84101

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043819600 Devin J Morrison Peer Specialist 230 W 200 S Unit 142, Salt Lake City, UT 84110-6006 2020-10-23
1518579077 Henry Matthews Peer Specialist 474 N Grant St, Salt Lake City, UT 84116-2726 2020-08-17
1134780042 Michael James Olsen Peer Specialist 344 E 100 S Ste 301300, Salt Lake City, UT 84111-1700 2019-06-23
1659836393 Brittney Emi Vaovasa Peer Specialist 252 W Brooklyn Ave, Salt Lake City, UT 84101-3024 2019-02-06
1306348263 Kurt Kyle Landenberger Peer Specialist 2200 S State St Fl 2, Salt Lake City, UT 84115-2724 2018-03-06
1922609320 Teri Christensen Peer Specialist 230 W 200 S # 142, Salt Lake City, UT 84101-1337 2020-11-03
1821698713 Kim Katherine Stephens Peer Specialist 230 W 200 S # 142, Salt Lake City, UT 84101-1337 2020-10-29
1225638364 Anna Elizabeth Dees Peer Specialist 230 W 200 S Ste 142, Salt Lake City, UT 84101-1337 2020-10-28
1124628268 Amber Wilkins I Peer Specialist 230 W 200 S # 142, Salt Lake City, UT 84101-1337 2020-10-28
1811596885 Kaylie A Larsen Peer Specialist 230 W 200 S # 142, Salt Lake City, UT 84101-1337 2020-10-21
Find all providers in SALT LAKE CITY

Competitor

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City SALT LAKE CITY
Zip Code 84101

Improve Information

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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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