ISRAEL PATTERSON (NPI# 1639550924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639550924 |
| Entity Type | Individual |
| Full Name | ISRAEL PATTERSON |
| Practice Address |
1258 W South Jordan Pkwy Ste 202 South Jordan UT 84095-4712 |
| Practice Telephone | 8012551155 |
| Practice Fax Number | 8012550281 |
| Mailing Telephone | 8012551155 |
| Mailing Fax Number | 8012550281 |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2015-06-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6492884-6009 | UT | Behavioral Health & Social Service Providers |
| Street Address |
1258 W SOUTH JORDAN PKWY STE 202 |
| City | SOUTH JORDAN |
| State | UT |
| Zip Code | 84095-4712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346271798 | Stacy K Robison | Nurse Practitioner | 1258 W South Jordan Pkwy Ste 202, South Jordan, UT 84095-4712 | 2006-07-05 |
| 1083220438 | Amelia Wilcox | Social Worker | 1258 W South Jordan Pkwy Ste 202, South Jordan, UT 84095-4712 | 2020-09-21 |
| 1508481664 | Matthew Connelly | Marriage & Family Therapist | 1258 W South Jordan Pkwy Ste 202, South Jordan, UT 84095-4712 | 2020-06-14 |
| 1871137604 | Thomas Wallace Pincock | Counselor | 1258 W South Jordan Pkwy Ste 202, South Jordan, UT 84095-4712 | 2019-11-05 |
| 1184124992 | Sherstin Fife | Counselor | 1258 W South Jordan Pkwy Ste 202, South Jordan, UT 84095-4712 | 2018-02-19 |
| 1255830022 | Paige Vandersloot | Marriage & Family Therapist | 1258 W South Jordan Pkwy Ste 202, South Jordan, UT 84095-4712 | 2018-02-07 |
| 1407387798 | Leonard Rentfro | Counselor | 1258 W South Jordan Pkwy Ste 202, South Jordan, UT 84095-4712 | 2017-03-27 |
| 1760894232 | Alison Dinkelman | Social Worker | 1258 W South Jordan Pkwy Ste 202, South Jordan, UT 84095-4712 | 2014-06-02 |
| 1588097380 | Michelle Bowman | Community/Behavioral Health | 1258 W South Jordan Pkwy Ste 202, South Jordan, UT 84095-4712 | 2013-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033745393 | Beverly Laraine Williams | Social Worker | 11260 S River Heights Drive, South Jordan, UT 84095 | 2020-03-19 |
| 1265902902 | Sarah Richele Kelley | Specialist/Technologist | 10236 Alder Grovey Way, South Jordan, UT 84095 | 2018-11-26 |
| 1326528837 | Kristi Couse | Massage Therapist | 10679 S 2200 W Apt 2, South Jordan, UT 84095 | 2018-08-15 |
| 1821516063 | River Crossing Dental Professional Corporation | Clinic/Center | 12427 South 4000 West, Suite #200, Riverton, UT 84095 | 2017-09-08 |
| 1245755719 | Staci Stout | Dental Hygienist | 3113 W Swiss Pass Cir, South Jordan, UT 84095 | 2017-08-07 |
| 1437698750 | Ryan Sears | Dentist | 10894 So. River Front Parkway, South Jordan, UT 84095 | 2017-02-20 |
| 1366989931 | Ultimate Sports Regenerative Medicine | Chiropractor | 1098 W. South Jordan Pkwy, Suite 101, South Jordan, UT 84095 | 2017-01-20 |
| 1306393889 | Tal Quirl | Optometrist | 3571 W. 10400 S., South Jordan, UT 84095 | 2016-09-01 |
| 1023562667 | Sevon Taroian | Social Worker | 11260 River Heights Drive, South Jordan, UT 84095 | 2016-08-11 |
| 1952762932 | Megan Buckley | Developmental Therapist | 881 Baxter Drive, Ste 100, South Jordan, UT 84095 | 2016-03-17 |
| Find all providers in zip 84095 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609410810 | Terra Prince | Counselor | 10808 S River Front Pkwy Ste 308, South Jordan, UT 84095-5761 | 2019-10-30 |
| 1215587316 | Caban Counseling LLC | Counselor | 2789 W 9760 S, South Jordan, UT 84095-3249 | 2019-09-19 |
| 1578055794 | Tiffany Murillo Paskett | Counselor | 10808 S River Front Pkwy Ste 361, South Jordan, UT 84095-6300 | 2018-06-04 |
| 1467902890 | Jodi Ohlin Lycett | Counselor | 10757 S River Front Pkwy Ste 275, South Jordan, UT 84095-3548 | 2016-10-10 |
| 1801293030 | Rebecca Backman | Counselor | 10393 S Temple Dr Unit 103, South Jordan, UT 84095-8883 | 2014-12-03 |
| 1841616224 | Holley Jeppson | Counselor | 11717 S Amber Stone Dr, South Jordan, UT 84095-8076 | 2014-03-10 |
| 1932457611 | Misty June Newman | Counselor | 10393 S Temple Dr Ste 103, South Jordan, UT 84095-8883 | 2012-08-28 |
| 1871896043 | Lori Christine Newbold | Counselor | 11103 Creek Ridge Cir, South Jordan, UT 84095-2252 | 2010-12-10 |
| 1831407071 | Lisa D Chavez | Counselor | 11719 Zephyr Way, South Jordan, UT 84095-8196 | 2010-09-22 |
| 1598933236 | Tracy Hogan | Counselor | 10432 S 4000 W Ste B, South Jordan, UT 84009-5729 | 2008-02-15 |
| Find all providers in SOUTH JORDAN | ||||
| City | SOUTH JORDAN |
| Zip Code | 84095 |
Please comment or provide details below to improve the information on ISRAEL PATTERSON.
| 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.