Tyler Davis
Individual provider Active NPI Case Manager/Care Coordinator · Mount Pleasant, UT
NPI 1023744646 · NPPES record last updated Jul 26, 2022
Key facts
- NPI
- 1023744646
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 265 N State St
Mount Pleasant, UT 84647-1108 - Phone
- (435) 462-2781
- NPI assigned
- Jul 26, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
265 N State St
Mount Pleasant, UT 84647-1108
Mailing address
265 N State St
Mount Pleasant, UT 84647-1108
Other providers in Mount Pleasant, UT
- Gary M Cole
- Country Lane Mount Pleasant Operating LLC
- Chad Crosby
- Aurelia L S Davis
- Jenny Davis
- Allen M Day
- Sherrie Lee Day
- David Lawrence Deaton
- Erin Dellamas
- Jason D Devlin
All providers in Mount Pleasant, UT · Case Manager/Care Coordinator in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.