MS. JACQUELYNNE LAREEN CHLARSON (NPI# 1922315407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922315407 |
| Entity Type | Individual |
| Full Name | MS. JACQUELYNNE LAREEN CHLARSON |
| Practice Address |
7302 West 3500 South Magna UT 84044-2449 |
| Mailing Address |
P.o. Box 344 Magna UT 84044-0344 |
| Practice Telephone | 8012504436 |
| Mailing Telephone | 8012504436 |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2010-09-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372500000X | Chore Provider | Nursing Service Related Providers | ||
| Y | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers |
| Street Address |
7302 WEST 3500 SOUTH |
| City | MAGNA |
| State | UT |
| Zip Code | 84044-2449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376073965 | Danielle Lauren Tanner | Social Worker | 8265 W. 2700 South, Magna, UT 84044 | 2017-06-15 |
| 1316485774 | Alina Crawford | Specialist | 9115 W Magna Main St, Magna, UT 84044 | 2017-02-06 |
| 1437469756 | Ashley Christine Prescott | Counselor | 2711 S 8500 W, Magna, UT 84044 | 2010-10-20 |
| 1548578511 | Valerie D Liggett | Social Worker | 2700 South 8537 West, Magna, UT 84044 | 2010-09-23 |
| 1265642334 | Tab Bingham | Dentist | 8370 W 3500 S, Magna, UT 84044 | 2007-05-23 |
| 1962437251 | Catherine Luverne Baxter | Nurse Practitioner | 840 W 3665 S, Magna, UT 84044 | 2006-07-12 |
| 1710918586 | Marliese Lovelei Lloyd | Physician Assistant | 8211 W 3500 So, Magna, UT 84044 | 2006-07-06 |
| 1093771446 | Kristine Holly Frost | Physician Assistant | 8211 West 3500 South, Magna, UT 84044 | 2006-04-25 |
| 1124175161 | Marilyn Marie Chan | Nurse Practitioner | 8925 South 2700 West, West Jordan, UT 84044 | 2007-01-04 |
| 1922163401 | Kevin Macfarlane | Physician Assistant | 8211 West 3500 South, Magna, UT 84044 | 2006-12-26 |
| Find all providers in zip 84044 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083986947 | Access Private Duty, LLC | Adult Companion | 3080 Richmond St Apt 106, Salt Lake City, UT 84106-3087 | 2012-02-07 |
| 1760711725 | Home Comfort Care LLC. | Adult Companion | 672 E. 1625 S., Kaysville, UT 84037 | 2009-12-21 |
| 1376065391 | Kylie Stubbs | Adult Companion | 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 | 2017-07-11 |
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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.