DR. JULIE A. WIESE (NPI# 1417931296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417931296 |
| Entity Type | Individual |
| Full Name | DR. JULIE A. WIESE |
| Credential | M.D. |
| Practice Address |
934 S Main St Layton UT 84041-7135 |
| Practice Telephone | 8017737060 |
| Mailing Telephone | 8017737060 |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2013-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
3090271205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | DESERET MUTUAL | 292740 | 01 |
| UT | INTRMTN. HEALTH CARE | 10700772D103 | 01 |
| UT | EDUCATORS MUTUAL | 942938348W11 | 01 |
| UT | UNKNOWN CARRIER | 346475 | 01 |
| Street Address |
934 S MAIN ST |
| City | LAYTON |
| State | UT |
| Zip Code | 84041-7135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790492 | Danielle Lexus Ortega | Community Health Worker | 934 S Main St, Layton, UT 84041-7135 | 2020-11-02 |
| 1861092116 | Paula Lee Moffitt | Registered Nurse | 934 S Main St, Layton, UT 84041-7135 | 2020-10-27 |
| 1235737693 | Shelby Close | Community Health Worker | 934 S Main St, Layton, UT 84041-7135 | 2020-10-16 |
| 1659979334 | Mikey Francisco Jaramillo | Community Health Worker | 934 S Main St, Layton, UT 84041-7135 | 2020-10-14 |
| 1841897436 | Jadrian Seana Mcdonough | Community Health Worker | 934 S Main St, Layton, UT 84041-7135 | 2020-10-06 |
| 1679170542 | Mara Elizabeth Jeffs | Community Health Worker | 934 S Main St, Layton, UT 84041-7135 | 2020-10-05 |
| 1194322073 | Hayden Harold Arave | Community Health Worker | 934 S Main St, Layton, UT 84041-7135 | 2020-10-05 |
| 1487251666 | Jordon Ashley Robinson | Social Worker | 934 S Main St, Layton, UT 84041-7135 | 2020-10-01 |
| 1093322778 | Makayla Marie Lee Richards | Community Health Worker | 934 S Main St, Layton, UT 84041-7135 | 2020-09-28 |
| 1558978684 | Ashlee Nicole Howard | Community Health Worker | 934 S Main St, Layton, UT 84041-7135 | 2020-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499183 | Grab Healthcare, LLC | Clinic/Center | 245 E 2150 N, Suite C, Layton, UT 84041 | 2020-08-26 |
| 1154961399 | Victoria Leeann Taylor | Massage Therapist | 716 Antelope Dr, Layton, UT 84041 | 2020-01-15 |
| 1184181505 | Brian Taylor Woodbury | Occupational Therapist | 471 Heritage Park Blvd. Ste #5, Layton, UT 84041 | 2019-02-21 |
| 1740756816 | Jacob C Juarez | Physician Assistant | 2084 N. 1700 W., Suite A, Layton, UT 84041 | 2018-10-16 |
| 1134637945 | Jodi Lynn Siri | Counselor | 365 W 1550 N Ste F, Layton, UT 84041 | 2018-01-15 |
| 1083128029 | Utah Cvs Pharmacy LLC | Pharmacy | 50 South Fort Lane, Layton, UT 84041 | 2017-11-29 |
| 1376057315 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2000 W & W 1700 S Nec, Layton, UT 84041 | 2017-11-29 |
| 1912411992 | Live Strong House LLC | Counselor | 377 N. Marshall Way, Suite 1b, Layton, UT 84041 | 2017-11-28 |
| 1003326505 | Kenneth L Ernstrom | Pharmacist | 2065 N Robins Drive, Layton, UT 84041 | 2017-10-10 |
| 1356868319 | Utah Home Health and Hospice LLC | Family Medicine | 920 W Heritage Park Blvd Suite 120, Layton, UT 84041 | 2017-08-29 |
| Find all providers in zip 84041 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124447222 | Patrick Aaron Bell | Psychiatry & Neurology | 934 S Main St, Layton, UT 84041-7135 | 2014-04-16 |
| 1235144908 | Orin H Ogilvie | Psychiatry & Neurology | 2250 Robins Dr, Layton, UT 84041-1140 | 2006-07-30 |
| 1710992649 | Christie James Ghicadus | Psychiatry & Neurology | 2250 Robins Dr, Layton, UT 84041-1140 | 2006-07-29 |
| 1326065053 | Brent R Amil | Psychiatry & Neurology | 934 S Main St, Layton, UT 84041-7135 | 2006-07-17 |
| 1457321556 | Julana Noel Schenk | Psychiatry & Neurology | 934 S Main St, Layton, UT 84041-7135 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154961746 | Disa T. Brock | Psychiatry & Neurology | 2520 N University Ave # 250a, Provo, UT 84604-3804 | 2020-01-10 |
| 1811549637 | Nume Tms Utah, Pllc | Psychiatry & Neurology | 560 S 300 E Ste 115, Salt Lake City, UT 84111-3562 | 2019-07-11 |
| 1508355223 | Yogini Lc | Psychiatry & Neurology | 12176 S 1000 E Ste 8b, Draper, UT 84020-3212 | 2018-05-08 |
| 1730691619 | Brian C Nyberg Md | Psychiatry & Neurology | 1760 N Main St Ste 208, Cedar City, UT 84721-7800 | 2017-10-31 |
| 1497288351 | Tyler Durns | Psychiatry & Neurology | 50 N Medical Dr Salt Lake City, Salt Lake City, UT 84132-0001 | 2017-04-07 |
| 1457705279 | Heather Wark | Psychiatry & Neurology | 3313 E Coronet Dr, Salt Lake City, UT 84124-3102 | 2016-04-18 |
| 1659732766 | Madison Perington | Psychiatry & Neurology | 7319 Balmer St Bldg 545, Hill Afb, UT 84056-5012 | 2016-03-16 |
| 1114311255 | Shane Verhoef | Psychiatry & Neurology | 500 Foothill Dr Bldg 16, Salt Lake City, UT 84148-1023 | 2015-03-26 |
| 1376947051 | University of Utah Behavioral Health Services | Psychiatry & Neurology | 30 N 1900 E Ste 1b620, Salt Lake City, UT 84132-0002 | 2014-10-09 |
| 1306280326 | Sheena Margaret Ray | Psychiatry & Neurology | 11616 S State St Ste 1503, Draper, UT 84020-7125 | 2013-04-21 |
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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.