JESSE GRAYDON ROBINSON (NPI# 1396986162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396986162 |
| Entity Type | Individual |
| Full Name | JESSE GRAYDON ROBINSON |
| Practice Address |
4747 N Oregon Trl Enoch UT 84721-7443 |
| Practice Telephone | 4355862592 |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2009-03-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083153522 | Jesse Lewis Robinson I | Counselor | 12370 Sw 121st Ave, Tigard, OR 97223-3127 | 2017-02-16 |
| 1639466857 | Jesse Francis Robinson | Physical Therapist | 19945 Haynes St, Woodland Hills, CA 91367-2706 | 2011-07-08 |
| 1245731488 | Jesse Robinson | Massage Therapist | 833 Se Main St, Portland, OR 97214-3454 | 2018-02-22 |
| 1275834210 | Jesse Robinson | Pharmacist | 1944 Illinois St, Sidney, NE 69162-1427 | 2010-11-08 |
| 1639385990 | Jesse L. Robinson | Dentist | 6 Forest Ave, Elberton, GA 30635-1808 | 2007-05-15 |
| Street Address |
4747 N OREGON TRL |
| City | ENOCH |
| State | UT |
| Zip Code | 84721-7443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205496189 | Heather Kirchmeier | Registered Nurse | 260 E D.l. Sargent Drive, Cedar City, UT 84721 | 2019-06-13 |
| 1245794080 | Enoch Dental Care, LLC | Clinic/Center | 850 East Midvalley Rd, Enoch, UT 84721 | 2019-01-25 |
| 1619459054 | Eulalia Marie Hall | Nurse Practitioner | 1303 N. Main St, Cedar City, UT 84721 | 2018-09-01 |
| 1922559285 | Renewed Hope Ranch, LLC | Community/Behavioral Health | 425 East 6000 North, Enoch, UT 84721 | 2016-10-20 |
| 1215480629 | Kyle Thomas | Counselor | 1870 N. Main Ste 102, Cedar City, UT 84721 | 2016-08-02 |
| 1093199135 | Fresenius Medical Care Cedar City, LLC | Clinic/Center | 1320 North Main Street, Cedar City, UT 84721 | 2015-07-18 |
| 1851700736 | Jason Arch | Chiropractor | 476 E Midvalley Rd, Cedar City, UT 84721 | 2014-08-05 |
| 1902237183 | Virgil Eric Bonnett | Social Worker | 4921 North Bald Eagle Dr., Enoch, UT 84721 | 2013-12-12 |
| 1891065280 | Merry A. Kelly | Registered Nurse | 260 E Dl Sargent Drive, Cedar City, UT 84721 | 2012-01-03 |
| 1235444787 | Adolescent Life Choices | Residential Treatment Facility, Emotionally Disturbed Children | 467 N. 300 W., Cedar City, UT 84721 | 2010-08-09 |
| Find all providers in zip 84721 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013886 | Brc Wellness LLC | Substance Abuse Rehabilitation Facility | 4911 S 900 E Ste B, Salt Lake City, UT 84117-5747 | 2020-11-06 |
| 1891307104 | Steps Recovery Center | Substance Abuse Rehabilitation Facility | 345 E 4500 S # 100-140, Murray, UT 84107-3991 | 2020-08-18 |
| 1104460666 | Active Recovery, LLC | Substance Abuse Rehabilitation Facility | 25 S Main St # 212, Centerville, UT 84014-1840 | 2019-10-28 |
| 1437709441 | Insight Recovery Cedar City, LLC | Substance Abuse Rehabilitation Facility | 1050 W Old Highway 91, Parowan, UT 84761-7725 | 2019-09-12 |
| 1316506470 | Evnsq, LLC | Substance Abuse Rehabilitation Facility | 5162 S Highland Dr, Holladay, UT 84117-7048 | 2019-06-11 |
| 1114584356 | Juniper Canyon Recovery Center for Women, LLC | Substance Abuse Rehabilitation Facility | 520 North Aspen Road, Loa, UT 84747-8474 | 2019-05-23 |
| 1750948030 | Liberty Addiction Recovery Centers LLC | Substance Abuse Rehabilitation Facility | 10458 N 6570 W, Highland, UT 84003-9311 | 2019-05-22 |
| 1235793290 | Mountain Valley Recovery LLC | Substance Abuse Rehabilitation Facility | 9431 N 400 W, Holden, UT 84636 | 2019-04-25 |
| 1346803525 | Brookstone Foundation | Substance Abuse Rehabilitation Facility | 198 N 100 E # 198n100e, St George, UT 84770-2831 | 2019-04-15 |
| 1639649684 | Sterling Recovery | Substance Abuse Rehabilitation Facility | 525 W 465 N Ste 130, Providence, UT 84332-5604 | 2018-12-03 |
| 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.