DAEMON ALEXANDER KAO'O GARSO (NPI# 1841769221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841769221 |
Entity Type | Individual |
Full Name | DAEMON ALEXANDER KAO'O GARSO |
Credential | APRN |
Practice Address |
237 26th St Ogden UT 84401-3105 |
Practice Telephone | 8016253700 |
Enumeration Date | 2018-11-15 |
Last Update Date | 2019-06-18 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
6354739-3102 | UT | Nursing Service Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
6354739-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UT | MEDICARE PIN | 000055266 | 01 |
UT | 8760003008007 | 05 | |
UT | RAILROAD MEDICARE | 260022408 | 01 |
Street Address |
237 26TH ST |
City | OGDEN |
State | UT |
Zip Code | 84401-3105 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922004209 | Teresa Ramos | Nurse Practitioner | 237 26th St, Ogden, UT 84401-3105 | 2005-06-22 |
1114525458 | Allsion Cooper | Case Manager/Care Coordinator | 237 26th St, Ogden, UT 84401-3105 | 2020-10-09 |
1164035226 | Brinley Roubinet | Community Health Worker | 237 26th St, Ogden, UT 84401-3105 | 2020-08-28 |
1679186647 | Salena Echevarria | Case Manager/Care Coordinator | 237 26th St, Ogden, UT 84401-3105 | 2020-08-28 |
1780296798 | Donna Lori King | Case Manager/Care Coordinator | 237 26th St, Ogden, UT 84401-3105 | 2020-08-20 |
1225649338 | Lori Ludlow | Counselor | 237 26th St, Ogden, UT 84401-3105 | 2020-08-12 |
1336750538 | Christy Rundio | Counselor | 237 26th St, Ogden, UT 84401-3105 | 2020-08-11 |
1083225288 | Tommi King | Counselor | 237 26th St, Ogden, UT 84401-3105 | 2020-08-11 |
1396355087 | Weber Human Services | Family Medicine | 237 26th St, Ogden, UT 84401-3105 | 2020-08-06 |
1902424252 | Madison Jarvis | Case Manager/Care Coordinator | 237 26th St, Ogden, UT 84401-3105 | 2020-07-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376183558 | Vickie Fields | Counselor | 533 26th Street Ste 100, Ogden, UT 84401 | 2020-01-15 |
1063059939 | Gahc4 West Haven Ut Trs Sub, LLC | Assisted Living Facility | 3518 South 2625 West, West Haven, UT 84401 | 2019-12-10 |
1720631880 | Kelsey Askea | Student in an Organized Health Care Education/Training Program | 2261 Washington Blvd #102, Ogden, UT 84401 | 2019-07-18 |
1114579596 | James Edward Fenton Jr. | Nurse Practitioner | 2351 Grant Ave Ste 201, Ogden, UT 84401 | 2019-07-15 |
1689144248 | Crystal Hadley | Registered Nurse | 477 23rd Street, Ogden, UT 84401 | 2018-11-27 |
1336632215 | Michael David Leman | Registered Nurse | 1355 Hinckley Dr, Ogden, UT 84401 | 2018-06-14 |
1689926313 | Lotus Park Care Centers, LLC | Assisted Living Facility | 2639 W 3520 S, West Haven, UT 84401 | 2012-10-04 |
1770865776 | William M Gardiner | Social Worker | 2351 Grant, Suite 103, Ogden, UT 84401 | 2011-09-15 |
1043509888 | Absolute Vision | Optometrist | 4645 S. Midland Dr., Suite A, West Haven, UT 84401 | 2011-04-01 |
1629376496 | Chad Calkins | Counselor | 502 E 22nd St, Ogden, UT 84401 | 2011-03-03 |
Find all providers in zip 84401 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922004209 | Teresa Ramos | Nurse Practitioner | 237 26th St, Ogden, UT 84401-3105 | 2005-06-22 |
1598052375 | Sarah Hoffman | Nurse Practitioner | 5030 Harrison Blvd, Ogden, UT 84403-4311 | 2011-06-30 |
1760788160 | Bart Steven Sanders | Nurse Practitioner | 5030 Harrison Blvd, Ogden, UT 84403-4311 | 2011-02-01 |
1720264369 | Marie Woodfield | Nurse Practitioner | 5030 Harrison Blvd, Ogden, UT 84403-4311 | 2008-01-14 |
1720204456 | Evelyn Geilmann | Nurse Practitioner | 698 12th St, Ogden, UT 84404-6200 | 2007-04-18 |
1598786303 | Dustin Leo Adams | Nurse Practitioner | 5030 Harrison Blvd, Ogden, UT 84403-4311 | 2006-07-21 |
1952328783 | Carolyn M Tometich | Nurse Practitioner | 5030 Harrison Blvd, Ogden, UT 84403-4311 | 2006-07-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114536737 | Bradley Martin | Nurse Practitioner | 31 M St Apt 110, Salt Lake City, UT 84103-3846 | 2020-07-29 |
1710595178 | Shannon Lee Zaryoun | Nurse Practitioner | 7970 S Grand Vista Way, Cottonwood Heights, UT 84121-5683 | 2020-07-21 |
1023640851 | Senior Nurse Practitioner Consultants | Nurse Practitioner | 5802 S 900 E # 3, Murray, UT 84121-1644 | 2020-02-10 |
1245877448 | Carla Lucile Applegate-anderson | Nurse Practitioner | 2666 South 2000 East, Suite 101, Salt Lake City, UT 84109 | 2019-12-06 |
1124676044 | Marie R. Hurst | Nurse Practitioner | 5974 Fashion Point Dr Ste 140, South Ogden, UT 84403-4838 | 2019-09-04 |
1437706058 | Austin Sumner Heaps | Nurse Practitioner | 1044 N 600 E, Morgan, UT 84050-9269 | 2019-08-19 |
1821565839 | Clint Lee Martineau | Nurse Practitioner | 230 N 1680 E # 1, Saint George, UT 84790-2579 | 2018-10-28 |
1356827505 | Ashley Smith | Nurse Practitioner | 515 N 600 E, Hyrum, UT 84319-1133 | 2018-07-11 |
1588176606 | Bradley Keep | Nurse Practitioner | 4610 W 9980 N, Cedar Hills, UT 84062-8728 | 2017-10-30 |
1023548070 | Sarah Leggett | Nurse Practitioner | 9235 S Redwood Rd Ste A, West Jordan, UT 84088-5811 | 2017-06-13 |
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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.