TAYLOR LEDUC (NPI# 1497398853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497398853 |
| Entity Type | Individual |
| Full Name | TAYLOR LEDUC |
| Practice Address |
836 N 1375 W Provo UT 84604-3049 |
| Mailing Address |
750 N Freedom Blvd Provo UT 84601-1677 |
| Practice Telephone | 8012267696 |
| Mailing Telephone | 8013734760 |
| Mailing Fax Number | 8013730639 |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2020-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 10395940-3506 | UT | Student, Health Care |
| N | 172V00000X | Community Health Worker | Other Service Providers |
| Street Address |
836 N 1375 W |
| City | PROVO |
| State | UT |
| Zip Code | 84604-3049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174844336 | Elizabeth Harward | Counselor | 836 N 1375 W, Provo, UT 84604-3049 | 2010-06-22 |
| 1285243683 | Cameron Camacho | Community Health Worker | 836 N 1375 W, Provo, UT 84604-3049 | 2020-07-31 |
| 1528603073 | Bailey Hartley | Community Health Worker | 836 N 1375 W, Provo, UT 84604-3049 | 2019-11-07 |
| 1568005643 | Courage Briant Cottrell | Community Health Worker | 836 N 1375 W, Provo, UT 84604-3049 | 2019-10-22 |
| 1609418029 | Joshua Bain Tate | Community Health Worker | 836 N 1375 W, Provo, UT 84604-3049 | 2019-10-17 |
| 1427523984 | Adam Mark Taylor | Counselor | 836 N 1375 W, Provo, UT 84604-3049 | 2018-10-10 |
| 1841782786 | Elise Villaroman | Community Health Worker | 836 N 1375 W, Provo, UT 84604-3049 | 2018-06-06 |
| 1629560669 | Joseph Isaiah Swafford | Community Health Worker | 836 N 1375 W, Provo, UT 84604-3049 | 2018-06-05 |
| 1639678782 | Tyler Brush | Counselor | 836 N 1375 W, Provo, UT 84604-3049 | 2018-02-05 |
| 1003314436 | Maurhy Alfredo Meneses | Counselor | 836 N 1375 W, Provo, UT 84604-3049 | 2018-01-31 |
| 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 | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578180006 | Logan Mock | Student in an Organized Health Care Education/Training Program | 547 W 200 N # 2, Provo, UT 84601-2659 | 2020-06-30 |
| 1689295131 | Cajin Rain Christianson Savage | Student in an Organized Health Care Education/Training Program | 717 E 3230 N, Provo, UT 84604-4727 | 2020-05-06 |
| 1336783414 | Mckenzie Christine Cunningham | Student in an Organized Health Care Education/Training Program | 151 E 300 N Apt 12, Provo, UT 84606-2985 | 2019-11-01 |
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1891298238 | Andrew Ray | Student in an Organized Health Care Education/Training Program | 1526 W 1730 N, Provo, UT 84604-1707 | 2018-03-12 |
| 1760917702 | Stephen Alefaio Adams | Student in an Organized Health Care Education/Training Program | 1189 E 300 N, Provo, UT 84606-3539 | 2017-04-27 |
| 1821535022 | Haelly Kirk | Student in an Organized Health Care Education/Training Program | 1724 N 450 W, Apt 208, Provo, UT 84604-1480 | 2017-01-25 |
| 1477097509 | James Ahuna | Student in an Organized Health Care Education/Training Program | 778 E 560 N Apt 108, Provo, UT 84606-2140 | 2016-12-08 |
| 1255786976 | Justin Zamora | Student in an Organized Health Care Education/Training Program | 223 W Bulldog Blvd, #506, Provo, UT 84604-2546 | 2016-05-01 |
| 1447611595 | Robert Shirley | Student in an Organized Health Care Education/Training Program | 750 North 200 West, Provo, Ut 84601., Provo, UT 84601 | 2016-03-17 |
| 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.