Corinne Dalton

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

8193054-1901 Issued in UT

Practice address

3195 S Main St Ste 260
South Salt Lake, UT 84115-3799

Phone

(385) 333-6403

NPI assigned

Feb 16, 2021

Last updated

Feb 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anicka Inc

  • Adult Mental Health Clinic/Center
  • South Salt Lake, UT
  • NPI 1992346704
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1336732882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3195 S MAIN ST STE 260",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "841153799",
            "telephone_number": "385-333-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3195 S MAIN ST STE 260",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "841153799",
            "telephone_number": "385-333-6403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALTON",
        "first_name": "CORINNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "UT",
            "license": "8193054-1901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Thomas Creer
• Sarah Elizabeth Crowther
• Joshua Don Cummings
• Jona Nusink Curry, R.N.
• Ana Y Curtis, RN
• Rebecca E Daniell, LMT
• Olga Danyliuk
• Jennifer Lea Davis
• Louanne Ferrin Davis
• Michael Dawes, MFT

• Community Health Worker in South Salt Lake, UT
• Providers in South Salt Lake, UT by specialty
• Community Health Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.