KELLY MYERS (NPI# 1992199301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992199301 |
| Entity Type | Individual |
| Full Name | KELLY MYERS |
| Practice Address |
836 N 1375 W Provo UT 84604-3049 |
| Mailing Address |
501 W 2600 S Bountiful UT 84010-7784 |
| Practice Telephone | 8013752523 |
| Mailing Telephone | 8013752523 |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2015-03-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002024 | Kelly Maryn Myers | Speech-Language Pathologist | 1799 Schifferstadt Blvd, Frederick, MD 21701-9100 | 2018-11-21 |
| 1356830343 | Kelly J Myers | Social Worker | 1706 Atlantic St Apt 3b, Melbourne Beach, FL 32951-2342 | 2018-05-04 |
| 1346860129 | Kelly Ann Myers | Massage Therapist | 598 Nw Hill St Ste B, Bend, OR 97703-2970 | 2020-04-21 |
| 1487216941 | Kelly Jo Myers | Social Worker | 202639 E County Road 42, Woodward, OK 73801-5442 | 2019-07-05 |
| 1972049567 | Kelly Myers | Case Manager/Care Coordinator | 1722 S Lewis Rd, Camarillo, CA 93012-8520 | 2017-01-06 |
| 1396191821 | Kelly Myers | Social Worker | 120 W Broad St, Blackstone, VA 23824-1710 | 2016-05-13 |
| 1760771414 | Kelly Eugene Myers | Health Educator | 245 N Murray St, Banning, CA 92220-5528 | 2011-04-04 |
| 1740586601 | Kelly Erin Myers | Social Worker | 2084 Ne Professional Ct, Bend, OR 97701-6077 | 2011-02-09 |
| 1497080477 | Kelly M Myers | Social Worker | 38855 Hills Tech Dr, Suite 200, Farmington Hills, MI 48331-3421 | 2009-10-09 |
| 1538300843 | Kelly S Myers | Radiology | 1275 York Ave, New York, NY 10065-6007 | 2009-03-16 |
| Street Address |
836 N 1375 W |
| City | PROVO |
| State | UT |
| Zip Code | 84604-3049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174844336 | Elizabeth Harward | Counselor | 836 N 1375 W, Provo, UT 84604-3049 | 2010-06-22 |
| 1285243683 | Cameron Camacho | Community Health Worker | 836 N 1375 W, Provo, UT 84604-3049 | 2020-07-31 |
| 1528603073 | Bailey Hartley | Community Health Worker | 836 N 1375 W, Provo, UT 84604-3049 | 2019-11-07 |
| 1568005643 | Courage Briant Cottrell | Community Health Worker | 836 N 1375 W, Provo, UT 84604-3049 | 2019-10-22 |
| 1609418029 | Joshua Bain Tate | Community Health Worker | 836 N 1375 W, Provo, UT 84604-3049 | 2019-10-17 |
| 1497398853 | Taylor Leduc | Student in an Organized Health Care Education/Training Program | 836 N 1375 W, Provo, UT 84604-3049 | 2019-10-17 |
| 1427523984 | Adam Mark Taylor | Counselor | 836 N 1375 W, Provo, UT 84604-3049 | 2018-10-10 |
| 1841782786 | Elise Villaroman | Community Health Worker | 836 N 1375 W, Provo, UT 84604-3049 | 2018-06-06 |
| 1629560669 | Joseph Isaiah Swafford | Community Health Worker | 836 N 1375 W, Provo, UT 84604-3049 | 2018-06-05 |
| 1639678782 | Tyler Brush | Counselor | 836 N 1375 W, Provo, UT 84604-3049 | 2018-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245792167 | Adrienne Lowden Dejager | Counselor | 314 S 1350 E, Provo, UT 84606-5318 | 2019-04-01 |
| 1699255315 | Michele Mcconkie Erekson | Counselor | 2545 N Canyon Rd Ste 112, Provo, UT 84604-5972 | 2018-08-21 |
| 1861980385 | Cory Bushman | Counselor | 455 N University Ave Ste 210, Provo, UT 84601-2868 | 2018-04-30 |
| 1013425594 | Tamara S Hill | Counselor | 3325 N University Ave Ste 275, Provo, UT 84604-7415 | 2018-01-18 |
| 1992150478 | Tristin Roney | Counselor | 1942 N 3100 W, Provo, UT 84601-5941 | 2016-05-03 |
| 1659760411 | Affinity Guidance Services, Inc | Counselor | 1971 N State St, Provo, UT 84604-1012 | 2015-01-16 |
| 1326460445 | Daniel Solen | Counselor | 2230 N University Pkwy Ste 11d, Provo, UT 84604-1583 | 2014-01-08 |
| 1235550526 | Richard James Bryan | Counselor | 567 N 2620 W, Provo, UT 84601-1187 | 2014-01-03 |
| 1508287947 | Ann Weight | Counselor | 4455 Wimbledon Dr, Provo, UT 84604-5394 | 2014-01-03 |
| 1508118456 | Linda Marie Taylor | Counselor | 719 N 1890 W Ste 38b, Provo, UT 84601-1333 | 2012-10-02 |
| Find all providers in PROVO | ||||
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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.