CHARLES LOOSEMORE (NPI# 1437616273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437616273 |
| Entity Type | Individual |
| Full Name | CHARLES LOOSEMORE |
| Practice Address |
237 26th St Ogden UT 84401-3105 |
| Practice Telephone | 8016253700 |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2019-02-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 8760003008007 | 05 | |
| UT | RAILROAD MEDICARE | 260022408 | 01 |
| UT | MEDICARE PIN | 000055266 | 01 |
| Street Address |
237 26TH ST |
| City | OGDEN |
| State | UT |
| Zip Code | 84401-3105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922004209 | Teresa Ramos | Nurse Practitioner | 237 26th St, Ogden, UT 84401-3105 | 2005-06-22 |
| 1114525458 | Allsion Cooper | Case Manager/Care Coordinator | 237 26th St, Ogden, UT 84401-3105 | 2020-10-09 |
| 1164035226 | Brinley Roubinet | Community Health Worker | 237 26th St, Ogden, UT 84401-3105 | 2020-08-28 |
| 1679186647 | Salena Echevarria | Case Manager/Care Coordinator | 237 26th St, Ogden, UT 84401-3105 | 2020-08-28 |
| 1780296798 | Donna Lori King | Case Manager/Care Coordinator | 237 26th St, Ogden, UT 84401-3105 | 2020-08-20 |
| 1225649338 | Lori Ludlow | Counselor | 237 26th St, Ogden, UT 84401-3105 | 2020-08-12 |
| 1336750538 | Christy Rundio | Counselor | 237 26th St, Ogden, UT 84401-3105 | 2020-08-11 |
| 1083225288 | Tommi King | Counselor | 237 26th St, Ogden, UT 84401-3105 | 2020-08-11 |
| 1396355087 | Weber Human Services | Family Medicine | 237 26th St, Ogden, UT 84401-3105 | 2020-08-06 |
| 1902424252 | Madison Jarvis | Case Manager/Care Coordinator | 237 26th St, Ogden, UT 84401-3105 | 2020-07-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376183558 | Vickie Fields | Counselor | 533 26th Street Ste 100, Ogden, UT 84401 | 2020-01-15 |
| 1063059939 | Gahc4 West Haven Ut Trs Sub, LLC | Assisted Living Facility | 3518 South 2625 West, West Haven, UT 84401 | 2019-12-10 |
| 1720631880 | Kelsey Askea | Student in an Organized Health Care Education/Training Program | 2261 Washington Blvd #102, Ogden, UT 84401 | 2019-07-18 |
| 1114579596 | James Edward Fenton Jr. | Nurse Practitioner | 2351 Grant Ave Ste 201, Ogden, UT 84401 | 2019-07-15 |
| 1689144248 | Crystal Hadley | Registered Nurse | 477 23rd Street, Ogden, UT 84401 | 2018-11-27 |
| 1336632215 | Michael David Leman | Registered Nurse | 1355 Hinckley Dr, Ogden, UT 84401 | 2018-06-14 |
| 1689926313 | Lotus Park Care Centers, LLC | Assisted Living Facility | 2639 W 3520 S, West Haven, UT 84401 | 2012-10-04 |
| 1770865776 | William M Gardiner | Social Worker | 2351 Grant, Suite 103, Ogden, UT 84401 | 2011-09-15 |
| 1043509888 | Absolute Vision | Optometrist | 4645 S. Midland Dr., Suite A, West Haven, UT 84401 | 2011-04-01 |
| 1629376496 | Chad Calkins | Counselor | 502 E 22nd St, Ogden, UT 84401 | 2011-03-03 |
| Find all providers in zip 84401 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306195946 | Shannon Barnes | Peer Specialist | 2628 Gramercy Ave, Ogden, UT 84401-2554 | 2012-08-29 |
| 1336701408 | James A Morgan | Peer Specialist | 1708 E 5550 S Ste 23, Ogden, UT 84403-7038 | 2019-06-28 |
| 1952861361 | Lisa Morgan | Peer Specialist | 237 26th St, Ogden, UT 84401-3105 | 2019-03-21 |
| 1285190934 | Dennis Major | Peer Specialist | 237 26th St, Ogden, UT 84401-3105 | 2019-02-19 |
| 1184189524 | Scott Birt | Peer Specialist | 237 26th St, Ogden, UT 84401-3105 | 2019-02-08 |
| 1780157933 | Cheryle Shirk | Peer Specialist | 237 26th St, Ogden, UT 84401-3105 | 2019-01-09 |
| 1326516329 | Kimberly Lahman | Peer Specialist | 237 26th St, Ogden, UT 84401-3105 | 2018-11-07 |
| 1104391994 | William Bauer | Peer Specialist | 237 26th St, Ogden, UT 84401-3105 | 2018-10-08 |
| 1699258913 | Elizabeth Anne Layne | Peer Specialist | 237 26th St, Ogden, UT 84401-3105 | 2018-09-12 |
| 1932688132 | Andrew K Shorts | Peer Specialist | 237 26th St, Ogden, UT 84401-3105 | 2018-08-08 |
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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.