ETHAN SMITH EVANS (NPI# 1700379617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700379617 |
| Entity Type | Individual |
| Full Name | ETHAN SMITH EVANS |
| Practice Address |
443 S 600 E Slc UT 84102-2708 |
| Practice Telephone | 8015366523 |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2018-06-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
443 S 600 E |
| City | SLC |
| State | UT |
| Zip Code | 84102-2708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487141941 | Virginia Lopez | Counselor | 443 S 600 E, Slc, UT 84102-2708 | 2018-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942818604 | Wendy Vazquez | Behavior Technician | 515 S 700 E Suit 2a, Salt Lake City, UT 84102 | 2020-07-20 |
| 1407481245 | Odyssey House Inc | Family Medicine | 743 E 300 S, Salt Lake City, UT 84102 | 2020-03-11 |
| 1093359960 | Hayle Mayer | Behavior Technician | 515 S 700 E Salt Lake City, Suite 2a, Salt Lake, UT 84102 | 2019-11-04 |
| 1326680869 | Ronald Mcdonald House of The Intermountain Area | Meals | 935 E. South Temple, Salt Lake City, UT 84102 | 2019-10-16 |
| 1508419581 | Claire Pemberton | Behavior Technician | 327 E 1300 S, Apt 2, Salt Lake City, UT 84102 | 2019-07-19 |
| 1558923144 | Olivia Anne Hardwick | Social Worker | Transitions At Slrmc, 86 S. 1100 E. Suite 404, Salt Lake City, UT 84102 | 2019-07-03 |
| 1649741802 | Colten Vancampen | Behavior Technician | 515 S 700 E #2a, Salt Lake City, UT 84102 | 2018-12-16 |
| 1457847964 | Utah Podiatry Group PC | Podiatrist | 24 S 1100 E Ste 120, Salt Lake City, UT 84102 | 2018-07-09 |
| 1104311661 | Malorey Kooyman | Behavior Technician | 515 700 East, Suite 2a, Salt Lake City, UT 84102 | 2018-06-27 |
| 1700384930 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E Ste 301, Salt Lake City, UT 84102 | 2018-01-23 |
| Find all providers in zip 84102 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902449648 | Julie Lynne Catoe | Counselor | 1953 S 1600 E, Slc, UT 84105-3846 | 2019-10-25 |
| 1518453141 | Kania Antione Gardner | Counselor | 4460 S. Highland Dr, Slc, UT 84124-3503 | 2018-07-06 |
| 1275949091 | Amy Deforest Edwards | Counselor | Jewish Family Service, 1111 E Brickyard Rd, Suite 218, Slc, UT 84106 | 2014-07-02 |
| 1568660108 | Stephanie Obrien | Counselor | 650 Komas Dr Ste 200, Slc, UT 84108-1241 | 2007-07-05 |
| 1265077523 | Joshua Silas Emmett | Counselor | 344 E 100 S, Slc, UT 84111-1700 | 2019-11-11 |
| 1588134464 | Christopher Hahn Whitehead | Counselor | 857 E 200 S, Slc, UT 84102-2317 | 2018-12-04 |
| 1891277521 | Cheryl Christy | Counselor | 4460 S Highland Dr, Slc, UT 84124-3543 | 2018-08-29 |
| 1982183513 | Kammy Lea Yorgason | Counselor | 1141 E 3900 S Ste A170, Slc, UT 84124-1250 | 2018-08-14 |
| 1487141941 | Virginia Lopez | Counselor | 443 S 600 E, Slc, UT 84102-2708 | 2018-04-19 |
| 1881064079 | Diana Jones Cornell | Counselor | 344 E 100 S Ste 301, Slc, UT 84111-1727 | 2015-09-30 |
| Find all providers in SLC | ||||
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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.