MRS. JENESSA LITTLEFIELD (NPI# 1750827226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750827226 |
| Entity Type | Individual |
| Full Name | MRS. JENESSA LITTLEFIELD |
| Practice Address |
1463 W 730 S Orem UT 84058-4947 |
| Practice Telephone | 2082016111 |
| Practice Fax Number | 8013730639 |
| Mailing Telephone | 2082016111 |
| Mailing Fax Number | 8013730639 |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
1463 W 730 S |
| City | OREM |
| State | UT |
| Zip Code | 84058-4947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696782 | Kaley Brooksby | Behavior Technician | 1140 W 1130, Orem, UT 84058 | 2020-10-13 |
| 1679042303 | Carolyn Mott Harvey | Counselor | 276 E 905 S, Orem, UT 84058 | 2018-11-26 |
| 1902371826 | Jennifer Morgan Ellefsen | Nurse Practitioner | 800 W University Pkwy # Ms 200, Orem, UT 84058 | 2018-10-07 |
| 1508340944 | Eye Pros of Orem | Optometrist | 366 E. University Parkway, Orem, UT 84058 | 2018-09-21 |
| 1003398025 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 366 E University Pkwy, Orem, UT 84058 | 2018-09-06 |
| 1407338288 | Jecel Kevin Mendoza | Case Manager/Care Coordinator | 1109 W 1390 S, Orem, UT 84058 | 2018-08-29 |
| 1407368509 | Kaitlyn Winget | Specialist/Technologist | 800 W. University Pkwy, Dept of Athletics- Ms 104, Orem, UT 84058 | 2017-10-30 |
| 1871010454 | Linda S George | Behavior Technician | 1875 S Geneva Road, Orem, UT 84058 | 2017-08-24 |
| 1811435951 | Rhea V. Perry | Massage Therapist | 35 S 400 W, Orem, UT 84058 | 2017-02-09 |
| 1457735425 | John Thomas Garlock | Behavioral Analyst | 1140 W 1130 S Bld B, Orem, UT 84058 | 2015-07-19 |
| Find all providers in zip 84058 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780232272 | Billie Jo Burnett | Peer Specialist | 1429 N 1200 W, Orem, UT 84057-2449 | 2019-08-28 |
| 1912352907 | Ilene Knipe | Peer Specialist | 702 W 1450 N, Orem, UT 84057-2513 | 2016-04-27 |
| 1114589421 | Cody Martensen | Peer Specialist | 901 S Orem Blvd, Orem, UT 84058-5011 | 2019-07-08 |
| 1316503402 | Whitney Ruth | Peer Specialist | 494 W 1400 N, Orem, UT 84057-7001 | 2019-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043819600 | Devin J Morrison | Peer Specialist | 230 W 200 S Unit 142, Salt Lake City, UT 84110-6006 | 2020-10-23 |
| 1104423532 | Chante Colvin | Peer Specialist | 3638 Sugar Leo Rd, St George, UT 84790-7452 | 2020-10-08 |
| 1518579077 | Henry Matthews | Peer Specialist | 474 N Grant St, Salt Lake City, UT 84116-2726 | 2020-08-17 |
| 1508497892 | Jamie Len Griffin | Peer Specialist | 256 W 100 S, Logan, UT 84321-5231 | 2020-01-27 |
| 1295370013 | Amber Chandler | Peer Specialist | 15257 S Scenic Crest Cir, Bluffdale, UT 84065-5076 | 2019-11-15 |
| 1669025227 | Ryan Ballard | Peer Specialist | 589 E 8680 S, Sandy, UT 84070-1779 | 2019-07-22 |
| 1134780042 | Michael James Olsen | Peer Specialist | 344 E 100 S Ste 301300, Salt Lake City, UT 84111-1700 | 2019-06-23 |
| 1659836393 | Brittney Emi Vaovasa | Peer Specialist | 252 W Brooklyn Ave, Salt Lake City, UT 84101-3024 | 2019-02-06 |
| 1699278366 | John Carlos Gonzales | Peer Specialist | 7873 S Chadbourne Dr, Cottonwood Heights, UT 84121-5806 | 2018-03-08 |
| 1306348263 | Kurt Kyle Landenberger | Peer Specialist | 2200 S State St Fl 2, Salt Lake City, UT 84115-2724 | 2018-03-06 |
| Find all providers with the same taxonomy | ||||
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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.