Shaleen Smith Ford
Individual provider Active NPI Health Educator · Alpine, UT
NPI 1114894094 · NPPES record last updated Oct 23, 2025
Key facts
- NPI
- 1114894094
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health Educator 174H00000X
- Practice address
- 509 Mountainville Dr
Alpine, UT 84004-1457 - Phone
- (801) 310-8551
- NPI assigned
- Oct 23, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | UT | Yes |
Addresses
Primary practice location
509 Mountainville Dr
Alpine, UT 84004-1457
Mailing address
509 Mountainville Dr
Alpine, UT 84004-1457
Phone (801) 310-8551
Other providers in Alpine, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2025. 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.