SHANNON BROOKE GRIZZLE (NPI# 1881150126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881150126 |
| Entity Type | Individual |
| Full Name | SHANNON BROOKE GRIZZLE |
| Credential | CSW |
| Practice Address |
4052 W Pioneer Pkwy West Valley City UT 84120-2062 |
| Practice Telephone | 8019643111 |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2019-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
9663252-3502 | UT | Behavioral Health & Social Service Providers |
| Street Address |
4052 W PIONEER PKWY |
| City | WEST VALLEY CITY |
| State | UT |
| Zip Code | 84120-2062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184623829 | Greg F Powell | Physician Assistant | 4052 W Pioneer Pkwy, Ste 208, West Valley City, UT 84120 | 2005-07-15 |
| 1316593239 | Laura Vanderhoff | Social Worker | 4052 W Pioneer Pkwy, West Valley City, UT 84120-2062 | 2019-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891349213 | Eli Kenny | Physical Therapist | 336 South 4155 West, West Valley City, UT 84120 | 2019-07-25 |
| 1841765377 | Wan Jen Horng | Pharmacist | 4052 Pioneer Parkway, # 111, West Valley City, UT 84120 | 2018-10-11 |
| 1841784220 | Andrea Savas | Physical Therapist | 3460 South 4155 West, West Valley City, UT 84120 | 2018-06-19 |
| 1235628223 | Meds In Motion, LLC | Pharmacy | 12101 S State St, Suite 101a, Draper, UT 84120 | 2018-05-04 |
| 1316477383 | Kendra Lindsey | Social Worker | 4052 W 3390 S Suite 105, West Valley City, UT 84120 | 2017-06-13 |
| 1154726842 | National Vision, Inc. | Technician/Technologist | 2569 South 5600 West, Ste A 550, West Valley, UT 84120 | 2014-10-24 |
| 1154637825 | Granger Pediatric Dentistry | Clinic/Center | 3725 W. 4100 S., Suite #260, West Valley City, UT 84120 | 2010-08-19 |
| 1104060714 | Comprehensive Medical Management, PC | Physical Medicine & Rehabilitation | 4052 W Pioneer Parkway, Suite 208, West Valley City, UT 84120 | 2009-04-27 |
| 1336384197 | Bamileke Sinju Sinju | Home Health | 3712 South Golden Grain Cir, West Valley City, UT 84120 | 2008-12-09 |
| 1164673331 | Empowered for Life, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5004 West Janette Drive, West Valley City, UT 84120 | 2008-10-07 |
| Find all providers in zip 84120 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386110047 | Emily Mason | Counselor | 4200 S 5600 W, West Valley City, UT 84120-4634 | 2018-10-21 |
| 1508117458 | Lanette Rose Best | Counselor | 2413 S Red Bur Ct, West Valley City, UT 84119-2165 | 2012-10-01 |
| 1215999503 | Intermountain Specialized Abuse Treatment Center (isat) | Counselor | 1555 West 2200 South, Suite A, West Valley City, UT 84119-1486 | 2006-04-04 |
| 1710967161 | Lyn Wilson | Counselor | 3148 S 1100 W, West Valley City, UT 84119-3304 | 2006-01-20 |
| 1003465725 | Alisa L Harmon | Counselor | Lds Family Services, 5698 Glen Eagle Drive, West Valley City, UT 84128 | 2019-09-05 |
| 1811555436 | Jacob Jesse Angle Lopez | Counselor | 3280 W 3500 S Ste E, West Valley City, UT 84119-2668 | 2019-05-29 |
| 1568925386 | Aubrae Putnam | Counselor | 5698 W Glen Eagle Dr, West Valley City, UT 84128-4013 | 2019-04-09 |
| 1891259610 | Mark Campbell | Counselor | 3280 W 3500 S Ste E, West Valley City, UT 84119-2668 | 2019-01-25 |
| 1174098487 | Kristine Jolley | Counselor | 3280 West 3500 South, Suite E, West Valley City, UT 84119-2668 | 2018-10-12 |
| 1154773190 | Lisa Gaffney | Counselor | 3148 S 1100 W, West Valley City, UT 84119 | 2016-07-01 |
| Find all providers in WEST VALLEY CITY | ||||
| City | WEST VALLEY CITY |
| Zip Code | 84120 |
Please comment or provide details below to improve the information on SHANNON BROOKE GRIZZLE.
| 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.