Ieesha Carroll
Individual provider Active NPI Case Manager/Care Coordinator · South Salt Lake, UT
NPI 1346926987 · NPPES record last updated Jun 27, 2023
Key facts
- NPI
- 1346926987
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 447 W Bearcat Dr
South Salt Lake, UT 84115-2519 - Phone
- (801) 355-2846
- NPI assigned
- Jun 27, 2023
- 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 |
|---|---|---|---|
| Volunteers of America | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | UT | Yes |
Addresses
Primary practice location
447 W Bearcat Dr
South Salt Lake, UT 84115-2519
Mailing address
3472 S Hedron PL Apt 502
West Valley City, UT 84119-7909
Phone (318) 237-8773
Other providers in South Salt Lake, UT
- Jackie Candilora
- Olimpia Canizal
- Canyon Creek Home Health Care LLC
- Ennio D Cardozo
- Careatc
- Maria P Cascavita Aranguren
- Ruth C Castaneda
- Matthew Brent Checketts
- Katherine Rose Chengappa
- Sarah Jane Christensen
All providers in South Salt Lake, 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 Jun 27, 2023. 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.