STEPHANIE CARBAJAL


Address: 1726 Buckley Ln, Provo, UT 84606-5031
Phone: 8013736562

STEPHANIE CARBAJAL (NPI# 1437652310) 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) 1437652310
Entity Type Individual
Full Name STEPHANIE CARBAJAL
Practice Address 1726 Buckley Ln
Provo
UT 84606-5031
Practice Telephone 8013736562
Practice Fax Number 8013759225
Mailing Telephone 8013736562
Mailing Fax Number 8013759225
Enumeration Date 2018-03-16
Last Update Date 2018-03-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 172V00000X Community Health Worker Other Service Providers
N 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Providers STEPHANIE CARBAJAL

NPI Name Taxonomy Address Enumeration
1881237642 Stephanie Carbajal Technician, Other 18 Technology Dr Ste 206, Irvine, CA 92618-2314 2019-10-24
1669037578 Stephanie Marlen Carbajal Behavior Technician 4950 San Bernardino St Ste 101, Montclair, CA 91763-2328 2019-05-06
1699242453 Stephanie Carbajal Rehabilitation Practitioner 118 S Oak Knoll Ave, Pasadena, CA 91101-2611 2018-10-30
1114186202 Stephanie Carbajal Marriage & Family Therapist 37634 Enterprise Ct, Farmington Hills, MI 48331-3440 2008-06-04

Office Location

Street Address 1726 BUCKLEY LN
City PROVO
State UT
Zip Code 84606-5031

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528171493 House of Hope Substance Abuse Rehabilitation Facility 1726 Buckley Ln, Provo, UT 84606-5031 2006-08-16
1154920353 Brooke Arledge Social Worker 1726 Buckley Ln, Provo, UT 84606-5031 2020-10-20
1932712981 Brittany Phillips Social Worker 1726 Buckley Ln, Provo, UT 84606-5031 2020-08-28
1184255275 Joey Payne Counselor 1726 Buckley Ln, Provo, UT 84606-5031 2020-01-28
1285264556 Maycin Quiterio Community Health Worker 1726 Buckley Ln, Provo, UT 84606-5031 2020-01-24
1710517081 Amy Franco Community Health Worker 1726 Buckley Ln, Provo, UT 84606-5031 2020-01-24
1972133684 Hillary Gentillon Community Health Worker 1726 Buckley Ln, Provo, UT 84606-5031 2020-01-22
1518597111 Sophie Mcklane Swenson Community Health Worker 1726 Buckley Ln, Provo, UT 84606-5031 2020-01-22
1003446600 Caylin Louise Lefevre Community Health Worker 1726 Buckley Ln, Provo, UT 84606-5031 2020-01-22
1366082729 Crystal Bettis Social Worker 1726 Buckley Ln, Provo, UT 84606-5031 2020-01-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053935551 Olivia Stiles Specialist/Technologist 200 E 515 N, Provo, UT 84606 2020-06-01
1417439076 Quin Spencer Volpe Counselor 1035 E 560 N, Provo, UT 84606 2018-08-30
1700365434 Hyunwook Lee Specialist/Technologist 1369 S 1500 E, Provo, UT 84606 2018-08-13
1598268930 Victor Bert Arthur Moxley Specialist 290 N 300 E, Provo, UT 84606 2018-03-12
1184132623 Academy Dental LLC Advanced Practice Dental Therapist 488 N 100 E St., Provo, UT 84606 2018-01-18
1720433485 Sean Lamb Counselor 231 S. 100 E., Provo, UT 84606 2016-05-02
1508236795 Forever Young Dentistry Pllc Clinic/Center 2335 S. State Street, Ste #200, Provo, UT 84606 2015-09-30
1558766014 Nancy Huber Physician Assistant Mountainland Community Health Center, 529 South State Street, Provo, UT 84606 2014-10-27
1356778377 Myrna Suzanne Gillis Marriage & Family Therapist 1726 Buckley Drive, Provo, UT 84606 2013-10-04
1558651067 Melissa Anne Mccreary Counselor 151 S.state St. University Ave., Ste 1400, Provo, UT 84606 2011-04-18
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Taxonomy Information

Taxonomy Code 172V00000X
Grouping Other Service Providers
Classification Community Health Worker

Taxonomy Definition

Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service.
Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508311010 Jordan Christopher Brown Community Health Worker 375 W 1720 N, Provo, UT 84604-6419 2016-08-25
1285243683 Cameron Camacho Community Health Worker 836 N 1375 W, Provo, UT 84604-3049 2020-07-31
1932735636 Amber Nicole Bailey Community Health Worker 750 N Freedom Blvd, Provo, UT 84601-1677 2020-03-14
1285264556 Maycin Quiterio Community Health Worker 1726 Buckley Ln, Provo, UT 84606-5031 2020-01-24
1710517081 Amy Franco Community Health Worker 1726 Buckley Ln, Provo, UT 84606-5031 2020-01-24
1972133684 Hillary Gentillon Community Health Worker 1726 Buckley Ln, Provo, UT 84606-5031 2020-01-22
1518597111 Sophie Mcklane Swenson Community Health Worker 1726 Buckley Ln, Provo, UT 84606-5031 2020-01-22
1003446600 Caylin Louise Lefevre Community Health Worker 1726 Buckley Ln, Provo, UT 84606-5031 2020-01-22
1912546912 Sarah Blanche Ott Community Health Worker 1726 Buckley Ln, Provo, UT 84606-5031 2019-12-23
1114565173 Jade Alexandra Forsythe Community Health Worker 1726 Buckley Ln, Provo, UT 84606-5031 2019-12-20
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Competitor

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City PROVO
Zip Code 84606

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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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