MS. COLLEEN DEGROOT (NPI# 1639794860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639794860 |
| Entity Type | Individual |
| Full Name | MS. COLLEEN DEGROOT |
| Credential | PA-S |
| Practice Address |
1465 26th St Ogden UT 84401-2933 |
| Practice Telephone | 3852166039 |
| Mailing Telephone | 3852166039 |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2020-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1465 26TH ST |
| City | OGDEN |
| State | UT |
| Zip Code | 84401-2933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376183558 | Vickie Fields | Counselor | 533 26th Street Ste 100, Ogden, UT 84401 | 2020-01-15 |
| 1063059939 | Gahc4 West Haven Ut Trs Sub, LLC | Assisted Living Facility | 3518 South 2625 West, West Haven, UT 84401 | 2019-12-10 |
| 1720631880 | Kelsey Askea | Student in an Organized Health Care Education/Training Program | 2261 Washington Blvd #102, Ogden, UT 84401 | 2019-07-18 |
| 1114579596 | James Edward Fenton Jr. | Nurse Practitioner | 2351 Grant Ave Ste 201, Ogden, UT 84401 | 2019-07-15 |
| 1689144248 | Crystal Hadley | Registered Nurse | 477 23rd Street, Ogden, UT 84401 | 2018-11-27 |
| 1336632215 | Michael David Leman | Registered Nurse | 1355 Hinckley Dr, Ogden, UT 84401 | 2018-06-14 |
| 1689926313 | Lotus Park Care Centers, LLC | Assisted Living Facility | 2639 W 3520 S, West Haven, UT 84401 | 2012-10-04 |
| 1770865776 | William M Gardiner | Social Worker | 2351 Grant, Suite 103, Ogden, UT 84401 | 2011-09-15 |
| 1043509888 | Absolute Vision | Optometrist | 4645 S. Midland Dr., Suite A, West Haven, UT 84401 | 2011-04-01 |
| 1629376496 | Chad Calkins | Counselor | 502 E 22nd St, Ogden, UT 84401 | 2011-03-03 |
| Find all providers in zip 84401 | ||||
| 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 |
|---|---|---|---|---|
| 1689299737 | Joshua Jene Holloway | Student in an Organized Health Care Education/Training Program | 1563 27th St, Ogden, UT 84403-0410 | 2020-06-15 |
| 1154959062 | Joshua Clifford Hansen | Student in an Organized Health Care Education/Training Program | 4403 Harrison Boulevard, Ste A700, Ogden, UT 84403 | 2020-03-28 |
| 1720631880 | Kelsey Askea | Student in an Organized Health Care Education/Training Program | 2261 Washington Blvd #102, Ogden, UT 84401 | 2019-07-18 |
| 1346797479 | Nehida Estevez | Student in an Organized Health Care Education/Training Program | 201 Wildcat Vlg, Ogden, UT 84408 | 2016-09-07 |
| 1063968741 | Robert J Reeve | Student in an Organized Health Care Education/Training Program | 4050 Taylor Ave, Ogden, UT 84403-2528 | 2016-08-31 |
| 1659774263 | Andrew Richards | Student in an Organized Health Care Education/Training Program | 490 W 24th St, Ogden, UT 84401-1223 | 2014-09-28 |
| 1316347172 | Alex Leonardi | Student in an Organized Health Care Education/Training Program | 1435 Village Drive, Dept. 2801, Ogden, UT 84408 | 2014-08-29 |
| 1346511532 | Landon Deru | Student in an Organized Health Care Education/Training Program | 3730 Brinker Ave, Ogden, UT 84403-2019 | 2012-01-19 |
| 1811120223 | Lizbeth Velazquez | Student in an Organized Health Care Education/Training Program | 391 Madison Ave, Ogden, UT 84404-2423 | 2009-09-02 |
| 1346878139 | Monica Rodgers | Student in an Organized Health Care Education/Training Program | 4403 Harrison Blvd Ste 700a, Ogden, UT 84403-3295 | 2020-03-29 |
| Find all providers in OGDEN | ||||
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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.