ADRIANNA TROY POTTS (NPI# 1770050817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770050817 |
| Entity Type | Individual |
| Full Name | ADRIANNA TROY POTTS |
| Practice Address |
1140 W 500 S Ste 9 Vernal UT 84078-2912 |
| Practice Telephone | 4357256300 |
| Practice Fax Number | 4357256325 |
| Mailing Telephone | 4357256300 |
| Mailing Fax Number | 4357256325 |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2018-10-26 |
| 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 |
| Street Address |
1140 W 500 S STE 9 |
| City | VERNAL |
| State | UT |
| Zip Code | 84078-2912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669775854 | Jonathan E Crane | Social Worker | 1140 W 500 S Ste 9, Vernal, UT 84078-2912 | 2010-12-10 |
| 1073127866 | Alyssa Lauren Henderson | Case Manager/Care Coordinator | 1140 W 500 S Ste 9, Vernal, UT 84078-2912 | 2020-08-31 |
| 1700490596 | Rafe Dudley | Case Manager/Care Coordinator | 1140 W 500 S Ste 9, Vernal, UT 84078-2912 | 2020-08-31 |
| 1720600703 | Kierra Gibbons | Social Worker | 1140 W 500 S Ste 9, Vernal, UT 84078-2912 | 2020-05-12 |
| 1962024380 | Melinda Allridge | Social Worker | 1140 W 500 S Ste 9, Vernal, UT 84078-2912 | 2020-05-07 |
| 1215580063 | Aaron Scott Wickel | Case Manager/Care Coordinator | 1140 W 500 S Ste 9, Vernal, UT 84078-2912 | 2019-07-22 |
| 1225698517 | Kandice Searle | Social Worker | 1140 W 500 S Ste 9, Vernal, UT 84078-2912 | 2019-06-18 |
| 1659931921 | Desree Allred | Social Worker | 1140 W 500 S Ste 9, Vernal, UT 84078-2912 | 2019-06-18 |
| 1023678323 | Heather Elise Barnes | Social Worker | 1140 W 500 S Ste 9, Vernal, UT 84078-2912 | 2019-06-18 |
| 1588223622 | Rebecca Lynn Gardiner | Registered Nurse | 1140 W 500 S Ste 9, Vernal, UT 84078-2912 | 2019-06-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205479748 | Wade Oliver Moulton | Pharmacist | 1080 W Hwy 40, Vernal, UT 84078 | 2019-10-28 |
| 1841610383 | Allegiance Addiction Recovery Center | Substance Abuse Rehabilitation Facility | 4430 N Little Valley Road, Vernal, UT 84078 | 2014-04-23 |
| 1689008773 | Ashley Valley Physician Practice, LLC | Occupational Therapist | 1680 W Highway 40 Ste 202, Vernal, UT 84078 | 2013-08-26 |
| 1528371796 | Terry L Smith | Counselor | 1140 W 500 S #9, Vernal, UT 84078 | 2010-07-16 |
| 1619280880 | Cicile M Rios | Counselor | 1140 W 800 S #9, Vernal, UT 84078 | 2010-07-16 |
| 1265754840 | Marjorie Elaine Gardner | Licensed Practical Nurse | 133 S 500 East, Vernal, UT 84078 | 2010-02-23 |
| 1528205853 | Robert Kirkham Jolley | Dentist | 40 West 100 North, Vernal, UT 84078 | 2009-01-08 |
| 1740482025 | Ashley Valley Physician Practice, LLC | Family Medicine | 175 N. 100 W., Suite 202, Vernal, UT 84078 | 2007-05-31 |
| 1265646459 | Ashley Valley Medical Center | Pharmacy | 151 W. 200 N., Vernal, UT 84078 | 2007-05-09 |
| 1629122692 | Brian Prentice Callahan | Dentist | 779 West Us Highway 40, Vernal, UT 84078 | 2007-01-23 |
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| 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 |
|---|---|---|---|---|
| 1073127866 | Alyssa Lauren Henderson | Case Manager/Care Coordinator | 1140 W 500 S Ste 9, Vernal, UT 84078-2912 | 2020-08-31 |
| 1700490596 | Rafe Dudley | Case Manager/Care Coordinator | 1140 W 500 S Ste 9, Vernal, UT 84078-2912 | 2020-08-31 |
| 1588272934 | Split Mountain Youth Center | Case Manager/Care Coordinator | 830 E Main St, Vernal, UT 84078-2708 | 2020-07-21 |
| 1215580063 | Aaron Scott Wickel | Case Manager/Care Coordinator | 1140 W 500 S Ste 9, Vernal, UT 84078-2912 | 2019-07-22 |
| 1306375902 | Ryan Miller | Case Manager/Care Coordinator | 1140 W 500 S Ste 9, Vernal, UT 84078-2912 | 2017-06-07 |
| 1063963502 | Melissa Allen | Case Manager/Care Coordinator | 1140 W 500 S Ste 9, Vernal, UT 84078-2912 | 2016-10-19 |
| 1144686270 | Hale-lani Maile | Case Manager/Care Coordinator | 1140 W 500 S Ste 9, Vernal, UT 84078-2912 | 2016-01-05 |
| 1225429103 | Stephanie Lee Odriscoll | Case Manager/Care Coordinator | 1140 W 500 S, Vernal, UT 84078-2914 | 2015-02-12 |
| 1649671009 | Sandra Richins | Case Manager/Care Coordinator | 1140 W 500 S Ste 9, Vernal, UT 84078-2912 | 2014-09-04 |
| 1134548449 | Kelly Bingham | Case Manager/Care Coordinator | 133 S 500 E, Vernal, UT 84078-2728 | 2014-04-15 |
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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.