LINDA JAYDE UDALL (NPI# 1801360052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801360052 |
| Entity Type | Individual |
| Full Name | LINDA JAYDE UDALL |
| Practice Address |
54 N 200 E Cedar City UT 84720-2615 |
| Mailing Address |
474 W 200 N St George UT 84770-4505 |
| Practice Telephone | 4355862515 |
| Mailing Telephone | 4356345634 |
| Enumeration Date | 2019-01-21 |
| Last Update Date | 2019-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
54 N 200 E |
| City | CEDAR CITY |
| State | UT |
| Zip Code | 84720-2615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841496924 | Joni D Bickley | Social Worker | 54 N 200 E, Cedar City, UT 84720-2615 | 2007-06-25 |
| 1093340325 | Anthony Arthur Obendorf | Behavior Technician | 54 N 200 E, Cedar City, UT 84720-2615 | 2020-03-06 |
| 1598390205 | Kim Marie Lyons | Technician | 54 N 200 E, Cedar City, UT 84720-2615 | 2020-03-03 |
| 1396383543 | Asia Arrianna Negron | Behavior Technician | 54 N 200 E, Cedar City, UT 84720-2615 | 2019-12-18 |
| 1235771510 | Delanie Drake | Behavior Technician | 54 N 200 E, Cedar City, UT 84720-2615 | 2019-10-08 |
| 1023666393 | Amanda Louise Ruhr | Behavior Technician | 54 N 200 E, Cedar City, UT 84720-2615 | 2019-08-29 |
| 1497307995 | Kendra M King | Case Manager/Care Coordinator | 54 N 200 E, Cedar City, UT 84720-2615 | 2019-07-15 |
| 1881256782 | Sheslina Kumari | Behavior Technician | 54 N 200 E, Cedar City, UT 84720-2615 | 2019-07-01 |
| 1417518580 | Rhiannon R Kelsey | Peer Specialist | 54 N 200 E, Cedar City, UT 84720-2615 | 2019-06-27 |
| 1396218889 | Christopher Scott Dreitzler | Behavior Technician | 54 N 200 E, Cedar City, UT 84720-2615 | 2019-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255907 | Todd Shakespeare | Pharmacist | 1330 S Providence, Cedar City, UT 84720 | 2020-11-02 |
| 1376165530 | Kirsten Leigh Graham | Psychologist | 351 W University Blvdgeneral Classrooms 308-o, General Classrooms 308-o, Cedar City, UT 84720 | 2020-05-11 |
| 1629556055 | Advanced Balance and Physical Therapy LLC | Clinic/Center | 856 Sage Dr Ste 301b, Cedar City, UT 84720 | 2018-07-28 |
| 1871012567 | Michael Angelo Dawson | Technician, Other | 245 E 680 N, Cedar City, UT 84720 | 2017-09-13 |
| 1114441441 | Asd Sleep LLC | Prosthetic/Orthotic Supplier | 1957 W Royal Hunte Dr, #250, Cedar City, UT 84720 | 2017-07-28 |
| 1073988077 | Southwest Utah Community Health Center | Clinic/Center | 245 East 680 South, Family Healthcare Center East Clinic, Cedar City, UT 84720 | 2015-12-02 |
| 1750710455 | Matthew Reiser | Psychologist | 136 West Center St, Southern Utah University Caps, Cedar City, UT 84720 | 2013-11-04 |
| 1619249471 | Debra Heath | Licensed Practical Nurse | 440 North Paiute Dr., Cedar, UT 84720 | 2012-02-08 |
| 1942591441 | Glendon Arly Pedersen | Technician, Health Information | 57 N. 200 E., Cedar City, UT 84720 | 2011-05-02 |
| 1457642407 | Cody Wayne Hutchings | Technician, Other | 54 North 200 East, Cedar City, UT 84720 | 2011-04-26 |
| Find all providers in zip 84720 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215480629 | Kyle Thomas | Counselor | 1870 N. Main Ste 102, Cedar City, UT 84721 | 2016-08-02 |
| 1609229913 | Shastel Honeycutt | Counselor | 1870 N Main St Ste 102, Cedar City, UT 84721-7740 | 2016-07-21 |
| 1598380354 | Amanda Shepard | Counselor | 245 E 680 S, Cedar City, UT 84720-3593 | 2020-06-08 |
| 1922588003 | Kaydon Robert Bradshaw | Counselor | 6484 N 2300 W, Cedar City, UT 84721-7102 | 2018-08-17 |
| 1710483805 | Colton Spencer | Counselor | 6484 N 2300 W, Cedar City, UT 84721-7102 | 2018-04-05 |
| 1386145407 | Geoffrey Ryan Eldredge | Counselor | 6484 N 2300 W, Cedar City, UT 84721-7102 | 2018-02-23 |
| 1386152403 | Shauna Marie Bacon | Counselor | 245 E 680 S, Cedar City, UT 84720-3593 | 2018-01-11 |
| 1942717855 | Matt Mellor | Counselor | 6484 N 2300 W, Cedar City, UT 84721-7102 | 2018-01-02 |
| 1073027819 | Zackery Reed Hansen | Counselor | 6484 N 2300 W, Cedar City, UT 84721-7102 | 2017-11-30 |
| 1922541200 | Gavin Jolley | Counselor | 1870 N Main St Ste 102, Cedar City, UT 84721-7740 | 2016-11-18 |
| Find all providers in CEDAR CITY | ||||
| City | CEDAR CITY |
| Zip Code | 84720 |
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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.