PATRICIA SOTOLONGO (NPI# 1528577590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528577590 |
Entity Type | Individual |
Full Name | PATRICIA SOTOLONGO |
Practice Address |
1300 E Center St Provo UT 84606-3554 |
Mailing Address |
4740 Sw 141st Ave Miami FL 33175-4818 |
Practice Telephone | 8013444400 |
Mailing Telephone | 7863711076 |
Enumeration Date | 2017-09-21 |
Last Update Date | 2019-07-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
3002 Armstrong St, San Diego, CA 921115702 | 8582779550 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093176075 | Patricia Sotolongo | Internal Medicine | 1100 N Indian Cyn Dr Ste 109, Palm Springs, CA 92262-4418 | 2016-03-17 |
Street Address |
1300 E CENTER ST |
City | PROVO |
State | UT |
Zip Code | 84606-3554 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811978620 | State of Utah | Psychiatric Hospital | 1300 E Center St, Provo, UT 84606-3554 | 2005-11-09 |
1053921536 | Brett Mortensen | Counselor | 1300 E Center St, Provo, UT 84606-3554 | 2020-08-09 |
1265051262 | Alrae Snyder | Clinical Nurse Specialist | 1300 E Center St, Provo, UT 84606-3554 | 2020-04-10 |
1538710207 | Benjamin Roos | Psychologist | 1300 E Center St, Provo, UT 84606-3554 | 2019-09-24 |
1528611092 | Keshia Bowers | Social Worker | 1300 E Center St, Provo, UT 84606-3554 | 2019-07-23 |
1235782756 | Allison Mckay Shiffler | Social Worker | 1300 E Center St, Provo, UT 84606-3554 | 2019-07-23 |
1386297893 | Delanie Doyle | Social Worker | 1300 E Center St, Provo, UT 84606-3554 | 2019-07-23 |
1861045718 | Gregory Porter | Social Worker | 1300 E Center St, Provo, UT 84606-3554 | 2019-07-19 |
1366095218 | Courtney Archer | Social Worker | 1300 E Center St, Provo, UT 84606-3554 | 2019-07-19 |
1396398244 | Lindsay Gonzalez | Social Worker | 1300 E Center St, Provo, UT 84606-3554 | 2019-07-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053935551 | Olivia Stiles | Specialist/Technologist | 200 E 515 N, Provo, UT 84606 | 2020-06-01 |
1417439076 | Quin Spencer Volpe | Counselor | 1035 E 560 N, Provo, UT 84606 | 2018-08-30 |
1700365434 | Hyunwook Lee | Specialist/Technologist | 1369 S 1500 E, Provo, UT 84606 | 2018-08-13 |
1598268930 | Victor Bert Arthur Moxley | Specialist | 290 N 300 E, Provo, UT 84606 | 2018-03-12 |
1184132623 | Academy Dental LLC | Advanced Practice Dental Therapist | 488 N 100 E St., Provo, UT 84606 | 2018-01-18 |
1720433485 | Sean Lamb | Counselor | 231 S. 100 E., Provo, UT 84606 | 2016-05-02 |
1508236795 | Forever Young Dentistry Pllc | Clinic/Center | 2335 S. State Street, Ste #200, Provo, UT 84606 | 2015-09-30 |
1558766014 | Nancy Huber | Physician Assistant | Mountainland Community Health Center, 529 South State Street, Provo, UT 84606 | 2014-10-27 |
1356778377 | Myrna Suzanne Gillis | Marriage & Family Therapist | 1726 Buckley Drive, Provo, UT 84606 | 2013-10-04 |
1558651067 | Melissa Anne Mccreary | Counselor | 151 S.state St. University Ave., Ste 1400, Provo, UT 84606 | 2011-04-18 |
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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 |
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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.