GRACELYN ESTRADA (NPI# 1508305566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508305566 |
| Entity Type | Individual |
| Full Name | GRACELYN ESTRADA |
| Credential | LMT |
| Practice Address |
955 S 225 E Layton UT 84041-4169 |
| Practice Telephone | 3852392472 |
| Mailing Telephone | 3852392472 |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2017-02-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | 10149438-4701 | UT | Other Service Providers |
| Street Address |
955 S 225 E |
| City | LAYTON |
| State | UT |
| Zip Code | 84041-4169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499183 | Grab Healthcare, LLC | Clinic/Center | 245 E 2150 N, Suite C, Layton, UT 84041 | 2020-08-26 |
| 1154961399 | Victoria Leeann Taylor | Massage Therapist | 716 Antelope Dr, Layton, UT 84041 | 2020-01-15 |
| 1184181505 | Brian Taylor Woodbury | Occupational Therapist | 471 Heritage Park Blvd. Ste #5, Layton, UT 84041 | 2019-02-21 |
| 1740756816 | Jacob C Juarez | Physician Assistant | 2084 N. 1700 W., Suite A, Layton, UT 84041 | 2018-10-16 |
| 1134637945 | Jodi Lynn Siri | Counselor | 365 W 1550 N Ste F, Layton, UT 84041 | 2018-01-15 |
| 1083128029 | Utah Cvs Pharmacy LLC | Pharmacy | 50 South Fort Lane, Layton, UT 84041 | 2017-11-29 |
| 1376057315 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2000 W & W 1700 S Nec, Layton, UT 84041 | 2017-11-29 |
| 1912411992 | Live Strong House LLC | Counselor | 377 N. Marshall Way, Suite 1b, Layton, UT 84041 | 2017-11-28 |
| 1003326505 | Kenneth L Ernstrom | Pharmacist | 2065 N Robins Drive, Layton, UT 84041 | 2017-10-10 |
| 1356868319 | Utah Home Health and Hospice LLC | Family Medicine | 920 W Heritage Park Blvd Suite 120, Layton, UT 84041 | 2017-08-29 |
| Find all providers in zip 84041 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235391327 | David L. Wilkerson | Legal Medicine | 2856 Snow Cir, St George, UT 84790-7650 | 2008-06-30 |
| 1487716031 | Crossroads Family Medicine | Legal Medicine | 1305 N Commerce Dr Ste 120, Saratoga Springs, UT 84043-5309 | 2006-12-13 |
| 1871502567 | Henry Klein | Legal Medicine | 3556 W 9800 S Ste 101, South Jordan, UT 84095-3221 | 2006-08-05 |
| 1760490122 | South Summit Pediatrics. LLC | Legal Medicine | 267 E Traversepoint Drive, Draper, UT 84020 | 2006-08-03 |
| 1215964309 | Randal John Lewis | Legal Medicine | 310 E 4500 S Ste 410, Murray, UT 84107-3993 | 2006-06-26 |
| 1548208028 | William Pidwell | Legal Medicine | 750 Round Valley Dr., Suite 201, Park City, UT 84060-5127 | 2006-06-04 |
| 1669452298 | Custom Medical Services | Legal Medicine | Rr 3 Box 3053, Roosevelt, UT 84066-9609 | 2006-01-19 |
| 1033111810 | Andrew Gerald Smith | Legal Medicine | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2005-08-11 |
| 1710152228 | Brent J. Bowen, M.d.p.c. | Legal Medicine | 5250 Commerce Dr, Suite 200, Salt Lake City, UT 84107-7926 | 2008-04-25 |
| 1508067950 | Park City Healthcare, PC | Legal Medicine | 1665 Bonanza Drive, Park City, UT 84060 | 2007-05-31 |
| 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.