JESSICA FLYNN (NPI# 1730430257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730430257 |
| Entity Type | Individual |
| Full Name | JESSICA FLYNN |
| Practice Address |
395 W Bulldog Blvd Ste 601 Provo UT 84604-3331 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 8013577525 |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2019-04-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
10108245-2501 | UT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992933782 | Jessica L. Flynn | Obstetrics & Gynecology | 1435 N. Randall Road, Suite 309, Midwest Center for Women's Healthcare, Elgin, IL 60123 | 2009-06-30 |
| 1902436983 | Jessica M Flynn | Behavior Technician | 88 Inverness Cir E Bldg H, Englewood, CO 80112-5304 | 2020-01-18 |
| 1700246246 | Jessica Marie Flynn | Marriage & Family Therapist | 21907 64th Ave W, 200, Mountlake Terrace, WA 98043-2200 | 2016-02-25 |
| 1346556974 | Jessica Leigh Flynn | Physical Therapist | 320b Charles H Dimmock Pkwy, Suite 6, Colonial Heights, VA 23834-2938 | 2010-08-20 |
| 1518182427 | Jessica Mary Flynn | Family Medicine | 1055 Centerville Cir, Vadnais Heights, MN 55127-5033 | 2007-04-16 |
| 1235201435 | Jessica Flynn | Pediatrics | Lahey Clinic, 41 Mall Rd., Burlington, MA 01805-0001 | 2006-11-14 |
| 1689682122 | Jessica Mary Flynn | Family Medicine | 3303 Sw Bond Ave, Mailcode Chf9, Portland, OR 97239-4501 | 2006-08-03 |
| Street Address |
395 W BULLDOG BLVD STE 601 |
| City | PROVO |
| State | UT |
| Zip Code | 84604-3331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588217723 | Erin Ellsworth Falor | Nurse Practitioner | 395 W Bulldog Blvd Ste 601, Provo, UT 84604-3331 | 2019-07-17 |
| 1861044604 | Kendra Staheli | Nurse Practitioner | 395 W Bulldog Blvd Ste 601, Provo, UT 84604-3331 | 2019-07-11 |
| 1871847434 | Ihc Health Services Inc | Psychiatry & Neurology | 395 W Bulldog Blvd Ste 601, Provo, UT 84604-3331 | 2012-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437796836 | Michael Ray Williams | Psychologist | 3319 N University Ave Ste 100, Provo, UT 84604-4447 | 2019-12-04 |
| 1578113510 | Phillip Dale Rash | Psychologist | 1424 W 430 S, Provo, UT 84601-3986 | 2019-09-11 |
| 1760929707 | Melissa Kay Jones | Psychologist | 4132 Timpview Dr, Provo, UT 84604-5128 | 2017-01-29 |
| 1144594003 | I Promise Foundation | Psychologist | 3521 N University Ave, Suite 225, Provo, UT 84604-4418 | 2012-02-23 |
| 1881730604 | Jennifer Anne Morrill | Psychologist | 3549 N University Ave Ste 200, Provo, UT 84604 | 2007-01-29 |
| 1457444077 | Royace Ann Shively | Psychologist | 1571 Wsc, Brigham Young University, Provo, UT 84602 | 2006-10-02 |
| 1194294090 | Laura H Dixon | Psychologist | 1190 North 900 East, Provo, UT 84604 | 2018-11-20 |
| 1508019522 | Benjamin Connell Salazar | Psychologist | 1500 Wsc, Brigham Young University, Provo, UT 84602-7924 | 2008-11-04 |
| 1528215274 | Kenneth C. Tuttle | Psychologist | 1034 N 500 W, Provo, UT 84604-3380 | 2008-08-25 |
| 1861611865 | Scott Edward Mccauley | Psychologist | 1190 N 900 E, Provo, UT 84604-3536 | 2007-04-25 |
| Find all providers in PROVO | ||||
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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.