Krystal Booth
Individual provider Active NPI Community Health Worker · Orem, UT
NPI 1154934636 · NPPES record last updated Aug 25, 2020
Key facts
- NPI
- 1154934636
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 581 W 1600 N
Orem, UT 84057-2571 - Phone
- (180) 147-3396
- Fax
- (801) 797-1220
- NPI assigned
- Aug 25, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Papilion Integrated Recovery Centers | Current |
Accepting new patients |
Locations
581 W 1600 N
Orem, UT 84057
Phone (801) 368-8423
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
581 W 1600 N
Orem, UT 84057-2571
Mailing address
2414 Acadiana LN
Seabrook, TX 77586-8309
Phone (180) 147-3396
Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2020. 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.