MR. CHAZ DERRICK COLTON


Address: 1034 N 500 W, Provo, UT 84604-3380
Phone: 8013572130

MR. CHAZ DERRICK COLTON (NPI# 1518484005) 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) 1518484005
Entity Type Individual
Full Name MR. CHAZ DERRICK COLTON
Credential DNP
Practice Address 1034 N 500 W
Provo
UT 84604-3380
Mailing Address 1346 E 3240 N
Lehi
UT 84043-3227
Practice Telephone 8013572130
Mailing Telephone 8015209049
Enumeration Date 2017-08-24
Last Update Date 2017-08-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
8066563-4405 UT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1034 N 500 W
City PROVO
State UT
Zip Code 84604-3380

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780671453 Marc Sune Robins Family Medicine 1034 N 500 W, Provo, UT 84604-3380 2005-09-28
1417562885 Mckenzie Hamilton Nurse Practitioner 1034 N 500 W, Provo, UT 84604-3380 2020-09-13
1235741042 Kristi Kay Anderson Nurse Practitioner 1034 N 500 W, Provo, UT 84604-3380 2020-08-21
1255968681 Tiffani Petersen Registered Nurse 1034 N 500 W, Provo, UT 84604-3380 2020-03-25
1477188811 Jodi Benson Dietitian, Registered 1034 N 500 W, Provo, UT 84604-3380 2020-03-05
1649815879 Jessica Ricaurte Nurse Practitioner 1034 N 500 W, Provo, UT 84604-3380 2019-11-12
1174167795 Courtney Danielle Akina Speech-Language Pathologist 1034 N 500 W, Provo, UT 84604-3337 2019-11-06
1396393609 Camille Stanley Speech-Language Pathologist 1034 N 500 W, Provo, UT 84604-3380 2019-08-29
1386292076 Rebecca Harris Occupational Therapist 1034 N 500 W, Provo, UT 84604-3380 2019-08-27
1770139289 Cameron Lee Tingey Nurse Practitioner 1034 N 500 W, Provo, UT 84604-3380 2019-08-12
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700963295 Michelle Marie Mcnew Nurse Practitioner 750 N 200 W Ste 300, Provo, UT 84601-1690 2006-11-01
1588217723 Erin Ellsworth Falor Nurse Practitioner 395 W Bulldog Blvd Ste 601, Provo, UT 84604-3331 2019-07-17
1124584867 Lisa O'donnal Nurse Practitioner 750 N Freedom Blvd, Provo, UT 84601-1677 2019-02-19
1588150304 Christopher Bickmore Parson Nurse Practitioner 395 W Bulldog Blvd, Provo, UT 84604-3311 2018-07-04
1538698550 Kelsie Balmforth Nurse Practitioner 750 N Freedom Blvd, Provo, UT 84601-1677 2017-06-05
1609223726 Younchan Lee Nurse Practitioner 750 N Freedom Blvd, Provo, UT 84601 2016-05-18
1972986057 Steven Faux Nurse Practitioner 1157 N 300 W, Suite 303, Provo, UT 84604-6124 2015-07-07
1669814505 Brandon Thatcher Nurse Practitioner 1750 N Wymount Terrace Dr, Provo, UT 84602-7600 2013-07-19
1598993040 Erin Marie Haggerty Nurse Practitioner 619 N 500 W, Provo, UT 84601-1547 2009-06-23
1114153137 Travis J Hunter Nurse Practitioner 750 N Freedom Blvd, Provo, UT 84601-1677 2009-06-04
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Competitor

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City PROVO
Zip Code 84604

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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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