DR. HEATHER R HARRISON (NPI# 1487760138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487760138 |
| Entity Type | Individual |
| Full Name | DR. HEATHER R HARRISON |
| Credential | D.O. |
| Practice Address |
1055 N 500 W Bldg A Provo UT 84604-3305 |
| Mailing Address |
1055 N 500 W Attn: Credentialing Provo UT 84604-3305 |
| Practice Telephone | 8018125033 |
| Practice Fax Number | 8018125034 |
| Mailing Telephone | 8013548225 |
| Mailing Fax Number | 8014180941 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5960238-1204 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356852438 | Heather A Harrison | Pharmacist | 1485 S M139, Benton Harbor, MI 49022 | 2017-10-17 |
| 1720440019 | Heather Koch Harrison | Family Medicine | 210 Nw Barstow St Ste 201, Waukesha, WI 53188-3771 | 2016-03-24 |
| 1750514733 | Heather Marie Harrison | Speech-Language Pathologist | 3213 W Charleston Blvd Ste 105, Las Vegas, NV 89102-1991 | 2009-08-25 |
| 1376052100 | Heather Lynne Harrison | Behavioral Analyst | 3605 W Pioneer Pkwy Ste C, Pantego, TX 76013-4500 | 2017-09-25 |
| 1366864357 | Heather Anne Harrison | Counselor | 1500 Nw Bethany Blvd, Suite 200, Beaverton, OR 97006-5208 | 2014-01-10 |
| 1063793040 | Heather L Harrison | Counselor | 229 W Gentry Ave, Checotah, OK 74426-2439 | 2011-09-02 |
| 1629397484 | Heather Anne Harrison | Physical Therapist | 2400 W Mallard Creek Church Rd, Suite 180, Charlotte, NC 28262-2324 | 2010-05-19 |
| 1497929798 | Heather Harrison | Internal Medicine | 505 E Grant St, Sutie 202, Macomb, IL 61455-3352 | 2008-04-17 |
| 1205035599 | Heather Lucinda Harrison | Rehabilitation Counselor | 3580 Wilshire Blvd, Los Angeles, CA 90010-2501 | 2007-07-16 |
| Street Address |
1055 N 500 W BLDG A |
| City | PROVO |
| State | UT |
| Zip Code | 84604-3305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396741476 | Kipp Moreno Robins | Otolaryngology | 1055 N 500 W Bldg A, Provo, UT 84604-3305 | 2005-06-23 |
| 1184221095 | Aubree Mckell Earnest | Nurse Practitioner | 1055 N 500 W Bldg A, Provo, UT 84604-3305 | 2020-10-04 |
| 1700404274 | Riley Wayne Petersen | Nurse Practitioner | 1055 N 500 W Bldg A, Provo, UT 84604-3305 | 2020-07-10 |
| 1194290551 | Leah Toshina Young | Physician Assistant | 1055 N 500 W Bldg A, Provo, UT 84604 | 2018-10-11 |
| 1235614959 | Mark W Sears | Physician Assistant | 1055 N 500 W Bldg A, Provo, UT 84604-3305 | 2018-09-27 |
| 1124509070 | Caitlin Brook Mallory | Nurse Practitioner | 1055 N 500 W Bldg A, Provo, UT 84604-3305 | 2018-08-28 |
| 1851802490 | Megan M. Kennedy | Dietitian, Registered | 1055 N 500 W Bldg A, Provo, UT 84604-3305 | 2017-10-23 |
| 1477085090 | Natalie Lois Jensen | Registered Nurse | 1055 N 500 W Bldg A, Provo, UT 84604-3305 | 2017-04-02 |
| 1134662729 | Jason Allen | Physician Assistant | 1055 N 500 W Bldg A, Provo, UT 84604-3305 | 2016-11-30 |
| 1295140911 | Adriana Martinez | Nurse Practitioner | 1055 N 500 W Bldg A, Provo, UT 84604-3305 | 2014-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453160 | Utah Valley Natural Health Clinic | Family Medicine | 3311 N University Ave Ste 100, Provo, UT 84604-7432 | 2020-10-06 |
| 1750840054 | Jonathon Lee Gross | Family Medicine | 395 W Cougar Blvd Ste 205, Provo, UT 84604-3328 | 2019-03-16 |
| 1275099897 | Optimal Health Family Practice Pllc | Family Medicine | 75 S 200 E Ste 100, Provo, UT 84606-3146 | 2019-02-19 |
| 1518414481 | Ihc Health Services Inc | Family Medicine | 395 W Bulldog Blvd Ste 603, Provo, UT 84604 | 2016-09-08 |
| 1790175628 | Brigham Young University | Family Medicine | 173 Richards Building, Dance Department, Provo, UT 84602-2000 | 2015-01-30 |
| 1790198141 | Micia Roby | Family Medicine | 1055 N 500 W Building A, Provo, UT 84604 | 2014-06-03 |
| 1295171874 | Angel Kae Lybbert | Family Medicine | 395 W. Bulldog Blvd. Suite 6b, Provo, UT 84604 | 2013-05-22 |
| 1912267212 | Ihc Health Services Inc | Family Medicine | 1401 E 2000 S, Provo, UT 84606-2072 | 2012-05-21 |
| 1710250253 | Mark Timothy Ross | Family Medicine | 3737 N 970 E, Provo, UT 84604-5247 | 2012-02-14 |
| 1639497191 | John Frederic Templeman | Family Medicine | 4728 Mile High Dr, Provo, UT 84604-5318 | 2010-05-08 |
| Find all providers in PROVO | ||||
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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.