CANDACE PATTERSON LARSEN (NPI# 1619315710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619315710 |
| Entity Type | Individual |
| Full Name | CANDACE PATTERSON LARSEN |
| Practice Address |
152 N 400 W Ephraim UT 84627 |
| Mailing Address |
152 N 400 W Ephraim UT 84627-5549 |
| Practice Telephone | 4352838400 |
| Practice Fax Number | 4352838401 |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2018-05-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
152 N 400 W |
| City | EPHRAIM |
| State | UT |
| Zip Code | 84627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730486887 | Ralaina M Taylor | Counselor | 152 N 400 W, Ephraim, UT 84627-5549 | 2011-02-24 |
| 1962967232 | Donnell Marie Johansen | Counselor | 152 N 400 W, Ephraim, UT 84627-5549 | 2019-01-31 |
| 1538688130 | Juliette M Stevens | Counselor | 152 N 400 W, Ephraim, UT 84627-5549 | 2017-09-14 |
| 1235670225 | Kassidy Pendleton | Counselor | 152 N 400 W, Ephraim, UT 84627-5549 | 2017-03-10 |
| 1700323771 | Hollie Draper | Registered Nurse | 152 N 400 W, Ephraim, UT 84627-5549 | 2017-01-27 |
| 1396281036 | Brian Charles Johanson | Counselor | 152 N 400 W, Ephraim, UT 84627-5549 | 2017-01-18 |
| 1538605274 | Amy Strate | Counselor | 152 N 400 W, Ephraim, UT 84627-5549 | 2017-01-18 |
| 1669916540 | Central Utah Counseling Center | Counselor | 152 N 400 W, Ephraim, UT 84627-5549 | 2016-12-12 |
| 1942691472 | Janet Reese | Counselor | 152 N 400 W, Ephraim, UT 84627-5549 | 2015-02-05 |
| 1023425790 | Crystal Alvarez | Counselor | 152 N 400 W, Ephraim, UT 84627-5549 | 2014-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730555400 | Snow College | Specialist/Technologist | 150 E. College Way, Ephraim, UT 84627 | 2015-08-18 |
| 1457601353 | Riley David Beck | Counselor | 390 E 100 S, Ephraim, UT 84627 | 2012-09-18 |
| 1992079099 | Lighthouse Ranch Corporation | Substance Abuse Rehabilitation Facility | 390 East 100 South, Ephraim, UT 84627 | 2012-03-07 |
| 1598067647 | Stephanie Irons | Counselor | 45 W 700 S, Ephraim, UT 84627 | 2010-11-23 |
| 1801104054 | Young Women's Empowerment Center | Community Based Residential Treatment Facility, Mental Illness | 90 North 161 West, Young Women's Empowerment Center, Ephraim, UT 84627 | 2010-09-22 |
| 1245548742 | Young Women's Empowerment Center Long Term 3 | Community Based Residential Treatment Facility, Mental Illness | 66 N. 180 W., Ephraim, UT 84627 | 2010-09-17 |
| 1073825402 | Rachel Allen | Social Worker | 45 West 700 South, Ephraim, UT 84627 | 2010-07-14 |
| 1154490613 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 728 N 50 E, Ephraim, UT 84627 | 2006-11-07 |
| 1477656452 | Leland R Thompson | Dentist | 35 E 400 S, Ephraim, UT 84627 | 2006-09-06 |
| 1750312674 | Ephraim City Corporation | Ambulance | 45 E Center St, Ephraim, UT 84627 | 2006-07-06 |
| Find all providers in zip 84627 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396148805 | Gingr Young | Case Manager/Care Coordinator | 68 N 180 W, Ephraim, UT 84627-2130 | 2014-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898111 | Alexis Charrissma Piccolo-lamberg | Case Manager/Care Coordinator | 1421 E Murphys Ln, Millcreek, UT 84106-2992 | 2020-10-09 |
| 1689281818 | Devery White | Case Manager/Care Coordinator | 195 N 1900 W, Salt Lake City, UT 84116 | 2020-10-01 |
| 1245847334 | Antonio Lumbreras-pimentel | Case Manager/Care Coordinator | 4863 W Seneca Rd, West Valley City, UT 84120-3625 | 2020-09-23 |
| 1316551336 | Mary Ann Rush | Case Manager/Care Coordinator | 334 E. 100 S., Slc, UT 84111 | 2020-09-08 |
| 1326652116 | Brenna Colleen Ball | Case Manager/Care Coordinator | 671 N Oakley St, Salt Lake City, UT 84116-3833 | 2020-08-31 |
| 1437761368 | Tonia Price | Case Manager/Care Coordinator | 625 S 200 E, Salt Lake City, UT 84111-3801 | 2020-08-21 |
| 1386254316 | Andrew Soliz II | Case Manager/Care Coordinator | 48 N Shields Lane, Moab, UT 84532 | 2020-08-04 |
| 1386264802 | Mckensee M Carter | Case Manager/Care Coordinator | 334 E 100 S, Salt Lake City, UT 84111 | 2020-04-24 |
| 1215563341 | Roxanne Aloni Love | Case Manager/Care Coordinator | 2875 N Hill Field Rd Trlr 65, Layton, UT 84041-1358 | 2020-03-20 |
| 1699300079 | Kayleigh Maxfield | Case Manager/Care Coordinator | 77 S. 600 E., Price, UT 84501 | 2020-03-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CANDACE PATTERSON LARSEN.
| 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.