MS. ALISA MARIE GARRETT (NPI# 1578701207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578701207 |
| Entity Type | Individual |
| Full Name | MS. ALISA MARIE GARRETT |
| Credential | APRN |
| Practice Address |
1300 E Center St Provo UT 84606-3554 |
| Mailing Address |
5880 Wasatch Dr Morgan UT 84050-9767 |
| Practice Telephone | 8013444400 |
| Mailing Telephone | 8013888078 |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2009-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
223016-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 84606 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902333065 | Rebecca Ann Waite | Nurse Practitioner | 320 River Park Dr Ste 255, Provo, UT 84604-6065 | 2017-05-18 |
| 1215244967 | Darcy T Trotter | Nurse Practitioner | 3650 N University Ave Ste 150, Provo, UT 84604-6636 | 2010-09-01 |
| 1932355740 | Maria Elena Black | Nurse Practitioner | 1034 N 500 W, Provo, UT 84604-3380 | 2008-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405228 | Jodi Pitt Dawson | Nurse Practitioner | 4695 Porter Ave, Ogden, UT 84403-3834 | 2020-10-19 |
| 1043851116 | Kenzlee Wooden | Nurse Practitioner | 845 S Main St Ste A7, Bountiful, UT 84010-6482 | 2019-09-30 |
| 1265090922 | Nina Davis | Nurse Practitioner | 1247 E Mockingbird Ln, Sandy, UT 84094-3118 | 2019-05-29 |
| 1023412434 | Gaylinn Breeze | Nurse Practitioner | 7093 S 2980 W, West Jordan, UT 84084-2963 | 2014-10-14 |
| 1174936140 | Elizabeth Shade Cardenas | Nurse Practitioner | 500 Foothill Drive #182h, Veterans Healthcare Administration, Salt Lake City, UT 84148 | 2014-06-08 |
| 1124449285 | Jan Clements | Nurse Practitioner | 1605 E Shadow Cv, Cottonwood Heights, UT 84121-3664 | 2013-12-16 |
| 1114289980 | Integrated Medical Services | Nurse Practitioner | 630 S. 400 E #101, St George, UT 84770 | 2012-06-08 |
| 1366737579 | Matrix Medical Network of Utah,llc | Nurse Practitioner | 2150 S 1300 E Ste 500, Salt Lake City, UT 84106-4375 | 2011-06-15 |
| 1609104553 | Denise Westover | Nurse Practitioner | 5169 S. Cottonwood St, Ste. 520, Murray, UT 84107 | 2009-12-03 |
| 1134457682 | Edith A Shepherd | Nurse Practitioner | 6923 W Long Ridge Dr, Herriman, UT 84096-3466 | 2009-11-20 |
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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.