KEVIN RARICK (NPI# 1609971506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609971506 |
| Entity Type | Individual |
| Full Name | KEVIN RARICK |
| Credential | PA-C |
| Practice Address |
5991 S 3500 W Ste 400 Roy UT 84067-6701 |
| Mailing Address |
1055 N 500 W Provo UT 84604-3305 |
| Practice Telephone | 8017732838 |
| Practice Fax Number | 8017732838 |
| Mailing Telephone | 8018124673 |
| Mailing Fax Number | 8014180941 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2013-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
102523-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5991 S 3500 W STE 400 |
| City | ROY |
| State | UT |
| Zip Code | 84067-6701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700884848 | Anthony Gene Pruitt | Pediatrics | 5991 S 3500 W, Roy, UT 84067 | 2005-07-12 |
| 1275134132 | Brandy Marie Family & Aesthetic Care | Nurse Practitioner | 5991 S 3500 W, Roy, UT 84067-6701 | 2020-11-05 |
| 1306447362 | Brandy M Tafoya | Registered Nurse | 5991 S 3500 W, Roy, UT 84067-6701 | 2020-11-05 |
| 1952765653 | Don Carter | Specialist/Technologist | 5991 S 3500 W, Roy, UT 84067-6701 | 2016-04-08 |
| 1104183276 | Melanie Ann Fry | Pediatrics | 5991 S 3500 W, Suite 100, Roy, UT 84067-6701 | 2012-04-13 |
| 1154515328 | Joshua Brown | Physical Therapist | 5991 S 3500 W, Suite 300, Roy, UT 84067-6701 | 2007-08-30 |
| 1285797357 | Alisa Barnes | Physician Assistant | 5991 S 3500 W, Roy, UT 84067 | 2006-12-19 |
| 1881795797 | Kim Schneider | Occupational Therapist | 5991 S 3500 W, Suite 300, Roy, UT 84067-6701 | 2006-09-25 |
| 1306821079 | Vicki L Berger | Physician Assistant | 5991 S 3500 W, Roy, UT 84067 | 2005-12-14 |
| 1245211572 | Brandon M Hepner | Physical Therapist | 5991 S 3500 W, Suite 300, Roy, UT 84067 | 2005-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881218220 | Breen Family Medicine, Pllc | Nurse Practitioner | 5991 S 3500 N, Roy, UT 84067 | 2020-06-01 |
| 1902349657 | Kelson Physician Partner's of Layton, Inc. | Pediatrics | 5286 S. 3500 W., Suite A, Roy, UT 84067 | 2016-11-29 |
| 1609258433 | Daniel Neumann | Pediatrics | 5682 S 3500 W, Roy, UT 84067 | 2015-06-29 |
| 1659641868 | Kelson Physijcian Partners of Layton, Inc | Pediatrics | 4040 South Midland Dr, Suite 2, Roy, UT 84067 | 2012-01-04 |
| 1346542834 | Midland Dental | Dentist | 4040 South Midland Drive, Suite 1, Roy, UT 84067 | 2010-12-03 |
| 1437398427 | Earl M. Cammack Jr. | Counselor | 4484 So. 1900 West, Suite 6, Roy, UT 84067 | 2009-02-13 |
| 1609086495 | Kelson Physician Partners of Layton, Inc. | Pediatrics | 5991 South 3500 West, Suite 100, Roy, UT 84067 | 2007-05-23 |
| 1396832655 | Standard Optical Co | Optometrist | 5421 S 19th W, Roy, UT 84067 | 2006-10-06 |
| 1457452864 | Paul D Hopkins Dds PC | Dentist | 4902 S 1900 W Suite 2, Roy, UT 84067 | 2006-09-26 |
| 1710085261 | Thomas R Austad | Podiatrist | 1885 West 4400 South, Roy, UT 84067 | 2006-09-20 |
| Find all providers in zip 84067 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760673115 | Michael Sean Harlan | Physician Assistant | 4932 S 3425 W, Roy, UT 84067-8656 | 2007-08-08 |
| 1255398921 | Jeffery W Anderson | Physician Assistant | 5640 S 3500 W, Roy, UT 84067-9158 | 2006-04-27 |
| 1093084295 | Jessica Wozab | Physician Assistant | 3485 W 5200 S, Roy, UT 84067-9438 | 2011-12-19 |
| 1548288020 | Sean J Carver | Physician Assistant | 1937 W 5700 S, Roy, UT 84067-2303 | 2006-07-17 |
| 1306821079 | Vicki L Berger | Physician Assistant | 5991 S 3500 W, Roy, UT 84067 | 2005-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748080 | Shannon Dhungel | Physician Assistant | 82 S 1100 E Ste 402, Salt Lake City, UT 84102-1892 | 2020-04-10 |
| 1437702875 | Jennica Marie Van Blerkom | Physician Assistant | 4755 S Wallace Ln, Holladay, UT 84117-6458 | 2019-07-23 |
| 1124599873 | Tcfh Lc | Physician Assistant | 9777 N 5520 W, Highland, UT 84003-9130 | 2018-12-06 |
| 1528533825 | Ryan Mclean Walsh | Physician Assistant | 1454 University Vlg, Salt Lake City, UT 84108-3518 | 2018-10-12 |
| 1033627351 | Linda Richards Lewis | Physician Assistant | 30 N. 1900 E, Som 5r218, Salt Lake City, UT 84132-0002 | 2018-01-22 |
| 1215446919 | Richard L Mittan | Physician Assistant | 65 E 6850 S, Midvale, UT 84047-1215 | 2017-09-25 |
| 1710416649 | Brian Adams | Physician Assistant | 1308 E 900 S # C, St George, UT 84790-8520 | 2017-06-05 |
| 1972036242 | Jace Meng | Physician Assistant | 30 N 1900 E Rm 5r218, Salt Lake City, UT 84132-0002 | 2017-04-04 |
| 1396289799 | Jefferson M Allen | Physician Assistant | 356 W 840 S, Orem, UT 84058-6778 | 2016-12-05 |
| 1609324151 | Colby Bliss | Physician Assistant | 826 N Paiute Way, Richfield, UT 84701-1849 | 2016-09-13 |
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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.