DR. LIZA SANDERSON (NPI# 1447584511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447584511 |
| Entity Type | Individual |
| Full Name | DR. LIZA SANDERSON |
| Practice Address |
228 W 200 S Ste 2e Kamas UT 84036-9010 |
| Mailing Address |
596 Ash Ct Kamas UT 84036-9275 |
| Practice Telephone | 8013606955 |
| Mailing Telephone | 4356403138 |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 435 | WY | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
435 | WY | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
1149 | WY | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
435 | WY | Behavioral Health & Social Service Providers |
| N | 101YS0200X |
Counselor Specialization: School |
435 | WY | Behavioral Health & Social Service Providers |
| N | 103TS0200X |
Psychologist Specialization: School |
435 | WY | Behavioral Health & Social Service Providers |
| N | 251B00000X | Case Management | 435 | WY | Agencies |
| N | 251C00000X | Day Training, Developmentally Disabled Services | 435 | WY | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 128433900 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 150 N Main St Ste 206, Heber City, UT 840321671 | 8013606955 | |
| 1800 Edinburgh St, Rawlins, WY 823014506 | 3073248820 |
| Street Address |
228 W 200 S STE 2E |
| City | KAMAS |
| State | UT |
| Zip Code | 84036-9010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649744954 | Janell L Jones | Counselor | 228 W 200 S Ste 2e, Kamas, UT 84036-9010 | 2019-01-20 |
| 1720581713 | Jenny Gempeler | Counselor | 228 W 200 S Ste 2e, Kamas, UT 84036-9010 | 2018-03-15 |
| 1093076200 | Travis Sanderson | Counselor | 228 W 200 S Ste 2e, Kamas, UT 84036-9010 | 2012-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386167401 | Jeffery Dan Smith | Pharmacist | 146 West 200 South, Kamas, UT 84036 | 2017-07-20 |
| 1255740734 | Gateway Dentistry P.C. | Clinic/Center | 228 W 200 S Suite 1a, Kamas, UT 84036 | 2014-08-08 |
| 1811154321 | Clive Russell Hallam | Counselor | 60 No. Main Street, Kamas, UT 84036 | 2008-05-21 |
| 1497890099 | Hi Mountain Drug | Pharmacy | 40 North Main, Kamas, UT 84036 | 2007-02-21 |
| 1548364516 | Kamas Food Inc | Pharmacy | 146 W 200 S, Kamas, UT 84036 | 2006-09-12 |
| 1922550136 | Expansive Horizons Counseling & Psychological Services, LLC | Community/Behavioral Health | 228 West 200 South, Suite 2e, Kamas, UT 84036 | 2016-11-04 |
| 1992980866 | Donald Wain Allen | Clinic/Center | 228 West 200 South, Suite 2, Kamas, UT 84036-0159 | 2008-01-09 |
| 1043501257 | Gregory Iverson Family Medicine, Pllc | Clinic/Center | 228 West 200 South, Kamas, UT 84036-0159 | 2011-04-21 |
| 1144259805 | County of Summit | Ambulance | 210 East 400 South, Kamas, UT 84036-0266 | 2006-07-02 |
| 1164987806 | Nicholas Paul Sheahan | Behavior Technician | 13292 Alexis Dr, Kamas, UT 84036-5517 | 2019-02-06 |
| Find all providers in zip 84036 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720581713 | Jenny Gempeler | Counselor | 228 W 200 S Ste 2e, Kamas, UT 84036-9010 | 2018-03-15 |
| 1093076200 | Travis Sanderson | Counselor | 228 W 200 S Ste 2e, Kamas, UT 84036-9010 | 2012-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154928919 | Frederick Charles Danneman IIi | Counselor | 2059 E 3900 S, Millcreek, UT 84124-1747 | 2020-10-05 |
| 1669084661 | Adrianne Mason | Counselor | 1580 N Hillside Dr, Genola, UT 84655-5066 | 2020-08-20 |
| 1467079509 | Misty Michelle Rosier | Counselor | 3329 W 1400 S, Ogden, UT 84401-9704 | 2020-07-05 |
| 1588200760 | Kelly Morse Counseling, LLC | Counselor | 1092 E 255 S, Layton, UT 84041-4496 | 2019-11-21 |
| 1083258867 | Kim Regina Williams - Redmond | Counselor | 1366 S Legend Hills Dr Ste 130, Clearfield, UT 84015-2373 | 2019-11-04 |
| 1205483609 | Wesley C Bruce | Counselor | 387 N 300 W, Cedar City, UT 84721-3547 | 2019-08-20 |
| 1679128599 | Flourish Therapy Inc | Counselor | 1426 E 820 N, Orem, UT 84097-5481 | 2019-08-07 |
| 1902368640 | Jennifer Elizabeth | Counselor | 1583 S 1600 E, Salt Lake City, UT 84105-2829 | 2019-04-02 |
| 1487114138 | Kara Kristine Groicher | Counselor | 525 E 100 S Ste 320, Salt Lake City, UT 84102-4210 | 2019-03-20 |
| 1174088777 | William Lasley Davis | Counselor | 2365 S 5900 W, Mendon, UT 84325-9743 | 2019-02-07 |
| 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.