AMANDA JO GLENN (NPI# 1700369238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700369238 |
| Entity Type | Individual |
| Full Name | AMANDA JO GLENN |
| Practice Address |
3809 W 6200 S Taylorsville UT 84129-3725 |
| Mailing Address |
4460 S Highland Dr Salt Lake City UT 84124-3543 |
| Practice Telephone | 8889494864 |
| Mailing Telephone | 8889494864 |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2018-09-11 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598014854 | Amanda J Glenn | Health Educator | 2613 Denver Ave, Longmont, CO 80503-1757 | 2012-09-02 |
| 1952886798 | Amanda N Glenn | Behavioral Analyst | 401 W Mcmackin St, Salem, IL 62881-1724 | 2018-09-27 |
| 1750710513 | Amanda L Glenn | Physician Assistant | 43 W Ridge Pike, Limerick, PA 19468-1711 | 2013-11-02 |
| Street Address |
3809 W 6200 S |
| City | TAYLORSVILLE |
| State | UT |
| Zip Code | 84129-3725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871575472 | Elizabeth Joy Albertsen | Psychologist | 3809 W 6200 S, Taylorsville, UT 84129-3725 | 2005-11-18 |
| 1982178760 | Yahia N/a Iarochen | Community Health Worker | 3809 W 6200 S, Taylorsville, UT 84129-3725 | 2019-01-15 |
| 1871066266 | Jeffery Lyle Summers | Community Health Worker | 3809 W 6200 S, Taylorsville, UT 84129-3725 | 2019-01-08 |
| 1124598651 | Chad Knight | Counselor | 3809 W 6200 S, Taylorsville, UT 84129-3725 | 2018-11-27 |
| 1558846808 | Eduardo Andres Frasqueri | Case Manager/Care Coordinator | 3809 W 6200 S, Taylorsville, UT 84129-3725 | 2018-10-02 |
| 1972088029 | Delsie Anne Bruehl | Community Health Worker | 3809 W 6200 S, Taylorsville, UT 84129-3725 | 2018-09-25 |
| 1760966592 | Shayanne Elizabeth Rodriguez | Case Manager/Care Coordinator | 3809 W 6200 S, Taylorsville, UT 84129-3725 | 2018-09-18 |
| 1164905691 | Teresa Elizabeth Vazquez | Behavior Technician | 3809 W 6200 S, Taylorsville, UT 84129-3725 | 2018-09-11 |
| 1700369246 | Kelsey Tyson | Counselor | 3809 W 6200 S, Taylorsville, UT 84129-3725 | 2018-09-11 |
| 1912480443 | Trenton Paul Mcelyea | Case Manager/Care Coordinator | 3809 W 6200 S, Taylorsville, UT 84129-3725 | 2018-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891140331 | Caring for Kearns | Social Worker | 5525 S 4015 W, Suite #207 A & B, Taylorsville, UT 84129 | 2016-05-03 |
| 1386014116 | Rusty Scott Burns | Physician Assistant | 4745 South 3200 West, Oquirrh View Clinic, Taylorsville, UT 84129 | 2015-10-06 |
| 1013398817 | Clifford Simpson | Counselor | 4897 S Avant Cir, Taylorsville, UT 84129 | 2015-06-17 |
| 1912328576 | Heather Jenkins | Substance Abuse Rehabilitation Facility | 6200 South 3809 West, Kearns, UT 84129 | 2013-12-30 |
| 1184981201 | Intermountain Community Supports and Services, LLC | In Home Supportive Care | 5104 Heritage Cove, Taylorsville, UT 84129 | 2012-04-13 |
| 1093039521 | Chad Alan Spain | Family Medicine | 3745 West 4700 South, Family Practice, Taylorsville, UT 84129 | 2010-03-26 |
| 1396068342 | Lindsay Helena Wilson | Dermatology | 3845 West 4700 South, Intermountain Healthcare Taylorsville Clinic, Taylorsville, UT 84129 | 2010-03-04 |
| 1962962407 | Craig J Campbell Dpm PC | Durable Medical Equipment & Medical Supplies | 5255 S 4015 W, #140, Salt Lake City, UT 84129 | 2019-03-21 |
| 1851866735 | Katie Nicholls | Physician Assistant | 4745 S 3200 W, Taylorsville, UT 84129 | 2018-10-08 |
| 1962829374 | Spencer Tingey | Family Medicine | 3730 W 4700 S, Taylorsville, UT 84129 | 2014-03-24 |
| Find all providers in zip 84129 | ||||
| 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 |
|---|---|---|---|---|
| 1558846808 | Eduardo Andres Frasqueri | Case Manager/Care Coordinator | 3809 W 6200 S, Taylorsville, UT 84129-3725 | 2018-10-02 |
| 1760966592 | Shayanne Elizabeth Rodriguez | Case Manager/Care Coordinator | 3809 W 6200 S, Taylorsville, UT 84129-3725 | 2018-09-18 |
| 1912480443 | Trenton Paul Mcelyea | Case Manager/Care Coordinator | 3809 W 6200 S, Taylorsville, UT 84129-3725 | 2018-09-11 |
| 1093294621 | Amber Guerra | Case Manager/Care Coordinator | 3809 W 6200 S, Taylorsville, UT 84129-3725 | 2018-08-14 |
| 1457839631 | Natalie Davis | Case Manager/Care Coordinator | 3809 W 6200 S, Taylorsville, UT 84129-3725 | 2018-07-31 |
| 1588140115 | Dresden Lyn Clark | Case Manager/Care Coordinator | 3809 W 6200 S, Taylorsville, UT 84129-3725 | 2018-07-17 |
| 1427544733 | David Zachary Brown | Case Manager/Care Coordinator | 3809 W 6200 S, Taylorsville, UT 84129-3725 | 2018-07-10 |
| 1538654934 | Logan Roy Munyer | Case Manager/Care Coordinator | 3809 W 6200 S, Taylorsville, UT 84129-3725 | 2018-06-27 |
| 1043705593 | Gregory Allen Kulicke | Case Manager/Care Coordinator | 3809 W 6200 S, Taylorsville, UT 84129-3725 | 2018-06-27 |
| 1851884654 | Trevor Siemon | Case Manager/Care Coordinator | 3809 W 6200 S, Taylorsville, UT 84129-3725 | 2018-06-07 |
| Find all providers in TAYLORSVILLE | ||||
| City | TAYLORSVILLE |
| Zip Code | 84129 |
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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.