MR. MILES GOODRICH (NPI# 1831523331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831523331 |
| Entity Type | Individual |
| Full Name | MR. MILES GOODRICH |
| Practice Address |
750 N 200 E Provo UT 84606-1705 |
| Practice Telephone | 8013734760 |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2013-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
750 N 200 E |
| City | PROVO |
| State | UT |
| Zip Code | 84606-1705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508111428 | Ricquel Hardman | Counselor | 750 N 200 E, Provo, UT 84606-1705 | 2012-07-17 |
| 1194144857 | Jeremy Woolsey | Marriage & Family Therapist | 750 N 200 E, Provo, UT 84606-1705 | 2014-04-10 |
| 1851718324 | Marisa Teasdale | Case Manager/Care Coordinator | 750 N 200 E, Provo, UT 84606-1705 | 2014-03-23 |
| 1669809570 | Holli Ann Howland | Case Manager/Care Coordinator | 750 N 200 E, Provo, UT 84601 | 2013-10-09 |
| 1679907414 | Alan Hunt | Social Worker | 750 N 200 E, Provo, UT 84606-1705 | 2013-08-28 |
| 1013341999 | Michelle Spencer | Case Manager/Care Coordinator | 750 N 200 E, Provo, UT 84606-1705 | 2013-08-27 |
| 1912330887 | Debra Deane Kitchen | Case Manager/Care Coordinator | 750 N 200 E, Provo, UT 84606-1705 | 2013-08-14 |
| 1811320930 | Tyree Noelle Bee | Case Manager/Care Coordinator | 750 N 200 E, Provo, UT 84606-1705 | 2013-08-13 |
| 1568895506 | Alison Elizabeth Steck | Social Worker | 750 N 200 E, Provo, UT 84606-1705 | 2013-08-13 |
| 1053750570 | Melinda L. Chamberlain | Social Worker | 750 N 200 E, Provo, UT 84606-1705 | 2013-06-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053935551 | Olivia Stiles | Specialist/Technologist | 200 E 515 N, Provo, UT 84606 | 2020-06-01 |
| 1417439076 | Quin Spencer Volpe | Counselor | 1035 E 560 N, Provo, UT 84606 | 2018-08-30 |
| 1700365434 | Hyunwook Lee | Specialist/Technologist | 1369 S 1500 E, Provo, UT 84606 | 2018-08-13 |
| 1598268930 | Victor Bert Arthur Moxley | Specialist | 290 N 300 E, Provo, UT 84606 | 2018-03-12 |
| 1184132623 | Academy Dental LLC | Advanced Practice Dental Therapist | 488 N 100 E St., Provo, UT 84606 | 2018-01-18 |
| 1720433485 | Sean Lamb | Counselor | 231 S. 100 E., Provo, UT 84606 | 2016-05-02 |
| 1508236795 | Forever Young Dentistry Pllc | Clinic/Center | 2335 S. State Street, Ste #200, Provo, UT 84606 | 2015-09-30 |
| 1558766014 | Nancy Huber | Physician Assistant | Mountainland Community Health Center, 529 South State Street, Provo, UT 84606 | 2014-10-27 |
| 1356778377 | Myrna Suzanne Gillis | Marriage & Family Therapist | 1726 Buckley Drive, Provo, UT 84606 | 2013-10-04 |
| 1558651067 | Melissa Anne Mccreary | Counselor | 151 S.state St. University Ave., Ste 1400, Provo, UT 84606 | 2011-04-18 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578180006 | Logan Mock | Student in an Organized Health Care Education/Training Program | 547 W 200 N # 2, Provo, UT 84601-2659 | 2020-06-30 |
| 1689295131 | Cajin Rain Christianson Savage | Student in an Organized Health Care Education/Training Program | 717 E 3230 N, Provo, UT 84604-4727 | 2020-05-06 |
| 1336783414 | Mckenzie Christine Cunningham | Student in an Organized Health Care Education/Training Program | 151 E 300 N Apt 12, Provo, UT 84606-2985 | 2019-11-01 |
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1891298238 | Andrew Ray | Student in an Organized Health Care Education/Training Program | 1526 W 1730 N, Provo, UT 84604-1707 | 2018-03-12 |
| 1760917702 | Stephen Alefaio Adams | Student in an Organized Health Care Education/Training Program | 1189 E 300 N, Provo, UT 84606-3539 | 2017-04-27 |
| 1821535022 | Haelly Kirk | Student in an Organized Health Care Education/Training Program | 1724 N 450 W, Apt 208, Provo, UT 84604-1480 | 2017-01-25 |
| 1477097509 | James Ahuna | Student in an Organized Health Care Education/Training Program | 778 E 560 N Apt 108, Provo, UT 84606-2140 | 2016-12-08 |
| 1255786976 | Justin Zamora | Student in an Organized Health Care Education/Training Program | 223 W Bulldog Blvd, #506, Provo, UT 84604-2546 | 2016-05-01 |
| 1447611595 | Robert Shirley | Student in an Organized Health Care Education/Training Program | 750 North 200 West, Provo, Ut 84601., Provo, UT 84601 | 2016-03-17 |
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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.