JACOB D GREMMERT (NPI# 1992250468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992250468 |
| Entity Type | Individual |
| Full Name | JACOB D GREMMERT |
| Practice Address |
7434 S State St Midvale UT 84047-2014 |
| Practice Telephone | 8014569955 |
| Mailing Telephone | 8014569955 |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2016-08-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
7434 S STATE ST |
| City | MIDVALE |
| State | UT |
| Zip Code | 84047-2014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043296601 | Dean M Kennington | Social Worker | 7434 S State St, Midvale, UT 84047-2014 | 2005-12-15 |
| 1881294296 | Lindsey Cockerton | Behavioral Analyst | 7434 S State St, Midvale, UT 84047-2014 | 2020-10-27 |
| 1346854627 | Trevor D Smith | Behavior Technician | 7434 S State St, Midvale, UT 84047-2014 | 2020-09-03 |
| 1750992384 | Smoki Suckla | Behavioral Analyst | 7434 S State St, Midvale, UT 84047-2014 | 2020-08-17 |
| 1750993382 | Bre Bronson | Behavior Technician | 7434 S State St, Midvale, UT 84047-2014 | 2020-08-17 |
| 1972128551 | Jacqueline Shawver | Behavior Technician | 7434 S State St, Midvale, UT 84047-2014 | 2020-06-10 |
| 1992320642 | Crystal Leigh Jimenez | Behavioral Analyst | 7434 S State St, Midvale, UT 84047-2014 | 2020-06-09 |
| 1417571803 | Savannah Hakes | Behavior Technician | 7434 S State St, Midvale, UT 84047-2014 | 2020-06-02 |
| 1972125383 | Madeleine Michelle Cottle | Behavioral Analyst | 7434 S State St, Midvale, UT 84047-2014 | 2020-05-08 |
| 1962024372 | Jenikka Brady | Behavior Technician | 7434 S State St, Midvale, UT 84047-2014 | 2020-05-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885096 | Wound Pros Utah | Durable Medical Equipment & Medical Supplies | 6975 Union Park Avenue, Suite 600, Cottonwood Heights, UT 84047 | 2020-09-12 |
| 1457965824 | Duy Danny Vo | Pharmacist | 7200 S State St, Midvale, UT 84047 | 2020-09-03 |
| 1619457314 | Tlcpo LLC | Counselor | 6975 Union Park Avenue Suite 600, Cottonwood Heights, UT 84047 | 2018-08-21 |
| 1700371606 | Heather Ivana Lawrence | Social Worker | 6856 700 E, Midvale, Ut 84047, Midvale,ut, UT 84047 | 2018-06-25 |
| 1285128942 | A&a Counseling | Counselor | 7602 S Main St, Midvale, UT 84047 | 2018-06-17 |
| 1396235339 | Hhalmid | Assisted Living Facility | 6968 S 700 E, Midvale, UT 84047 | 2018-05-15 |
| 1750879987 | Rosemarie Elaine Brinig | Counselor | 75 E. Ft. Union, C118, Midvale, UT 84047 | 2018-04-24 |
| 1861921140 | Olivia Devenport | Behavior Technician | 7434 S State Street, Midvale, UT 84047 | 2017-06-08 |
| 1376083071 | Marathon Health, LLC | Nurse Practitioner | 7259 South Bingham Junction, C/o Chg- Ut Health Center, Midvale, UT 84047 | 2017-02-28 |
| 1710436316 | Michael Naanes | Physical Therapist | 900 East 6900 South, Suite 100, Midvale, UT 84047 | 2016-09-25 |
| Find all providers in zip 84047 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841809324 | Mind and Matter Therapy | Community/Behavioral Health | 75 E Fort Union Blvd # 116, Midvale, UT 84047-1531 | 2020-07-30 |
| 1568813996 | New U Recovery LLC | Community/Behavioral Health | 76 E 7570 S, Midvale, UT 84047-2633 | 2016-06-27 |
| 1376090993 | Jamal Pugmire | Community/Behavioral Health | 7434 S State St, Midvale, UT 84047-2014 | 2016-09-01 |
| 1760938104 | Mckenna Larson | Community/Behavioral Health | 7434 S State St, Midvale, UT 84047-2014 | 2016-08-26 |
| 1801341375 | Jillian Mckinney | Community/Behavioral Health | 7434 S State St, Midvale, UT 84047-2014 | 2016-08-24 |
| 1619422185 | Mark Saengsoury | Community/Behavioral Health | 7434 S State St, Midvale, UT 84047-2014 | 2016-08-24 |
| 1083169551 | Alexis James | Community/Behavioral Health | 7434 S State St, Midvale, UT 84047-2014 | 2016-08-24 |
| 1538614003 | Megan Droubay | Community/Behavioral Health | 7434 S State St, Midvale, UT 84047-2014 | 2016-08-24 |
| 1447499140 | Rise Behavioral and Mental Health Services, LLC | Community/Behavioral Health | 7575 S 900 E, Midvale, UT 84047-5100 | 2009-02-19 |
| 1730376831 | David B. Adam, Phd, Inc | Community/Behavioral Health | 6925 Union Park Ctr, Suite 490, Midvale, UT 84047-4142 | 2007-10-02 |
| Find all providers in MIDVALE | ||||
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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.