MIKELLE COLEMAN GOODMAN (NPI# 1710489737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710489737 |
| Entity Type | Individual |
| Full Name | MIKELLE COLEMAN GOODMAN |
| Other Name | MIKELLE COLEMAN |
| Practice Address |
700 Foothill Blvd Salt Lake City UT 84113-1104 |
| Mailing Address |
206 N 2100 W Salt Lake City UT 84116-4740 |
| Practice Telephone | 8015841900 |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2018-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 8106618-4202 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
700 FOOTHILL BLVD |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84113-1104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760594048 | Utah State Veterans Nursing Home | Skilled Nursing Facility | 700 Foothill Blvd, Salt Lake City, UT 84113-1104 | 2006-08-31 |
| 1689176612 | Shari Ann Bowen | Physical Therapy Assistant | 700 Foothill Blvd, Salt Lake City, UT 84113-1104 | 2018-03-06 |
| 1063914091 | Kristen Elise Ashley | Physical Therapist | 700 Foothill Blvd, Salt Lake City, UT 84113-1104 | 2018-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386111060 | Melissa Marie Dixon | Psychologist | Primary Children's Hospital Outpatient Services, 81 South Mario Capecchi Drive, Salt Lake City, UT 84113 | 2018-10-31 |
| 1366965618 | Ashley Stuart | Psychologist | 44 North Mario Capecchi Drive, Salt Lake City, UT 84113 | 2017-07-19 |
| 1487945135 | Justin C Wheeler | Pediatrics | 81 N Mario Capecchi Dr Fl 4, Salt Lake City, UT 84113 | 2011-04-29 |
| 1154612117 | Dana Boucek | Pediatrics | 100 North Mario Capecchi Dr., Primary Children's, Salt Lake City, UT 84113 | 2011-04-26 |
| 1285959502 | Anna Katherine Eyre Ermarth | Pediatrics | 81 Mario Capecchi, Salt Lake City, UT 84113 | 2010-03-30 |
| 1457682072 | Elizabeth K Cho | Nurse Practitioner | 100 North Mario Cappechi Dr., Salt Lake City, UT 84113 | 2010-01-21 |
| 1528290848 | Nancy Crandell Brown | Nurse Practitioner | 100 North Mario Cappechi Drive, Salt Lake City, UT 84113 | 2009-08-20 |
| 1679708481 | Primary Children's Medical Center | General Acute Care Hospital | 100 No. Mario Capecchi Drive, Salt Lake, UT 84113 | 2009-05-22 |
| 1467697235 | Tara Hook | Physical Therapist | 100 North Mario Capecchi Dr, Salt Lake City, UT 84113 | 2008-12-09 |
| 1144474768 | Jennifer K Workman | Pediatrics | 100 N Mario Capecchi Drive, Pediatric Crtical Care, Primary Children's Hospital, Salt Lake City, UT 84113 | 2008-11-10 |
| Find all providers in zip 84113 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245593185 | Jamie Ann Thaxton | Occupational Therapy Assistant | 1780 Keysview Ct Apt 12, Salt Lake City, UT 84117-8049 | 2012-06-15 |
| 1457502965 | Kristi Ellefsen | Occupational Therapy Assistant | 6807 Pine Rock Cir, Salt Lake City, UT 84121-3405 | 2008-10-02 |
| 1285125500 | Haylee Shay Rollins | Occupational Therapy Assistant | 451 E Bishop Federal Ln, Salt Lake City, UT 84115-2357 | 2018-05-22 |
| 1275035305 | Jessica Green | Occupational Therapy Assistant | 6246 S Redwood Rd, Salt Lake City, UT 84123-6600 | 2018-03-05 |
| 1487155891 | Christopher Bricker | Occupational Therapy Assistant | 2472 S 300 E, Salt Lake City, UT 84115-2895 | 2018-02-22 |
| 1508367814 | Annette Bergesen | Occupational Therapy Assistant | 2472 S 300 E, Salt Lake City, UT 84115-2895 | 2018-02-22 |
| 1316448756 | Jonathan Cozad | Occupational Therapy Assistant | 3855 S 700 E, Salt Lake City, UT 84106-1157 | 2018-02-21 |
| 1699276022 | Lisa Maranowski | Occupational Therapy Assistant | 3855 S 700 E, Salt Lake City, UT 84106-1157 | 2018-02-21 |
| 1831690353 | Taunae Luke | Occupational Therapy Assistant | 3855 S 700 E, Salt Lake City, UT 84106-1157 | 2018-02-21 |
| 1114428554 | Shyla Case | Occupational Therapy Assistant | 2730 E 3300 S, Salt Lake City, UT 84109-2819 | 2018-02-21 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84113 |
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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.