Cottontree Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COTTONTREE FAMILY PRACTICE

Practice address

2230 N University Pkwy
Suite 1a
Provo, UT 84604-1509

Phone

(801) 377-3413

Fax

(801) 655-1890

NPI assigned

Nov 9, 2007

Organization subpart

No

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

Authorized official

Name

Shauna Manhart

Title

Manager

Phone

(801) 377-3413

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Preston Gray, PA

  • Physician Assistant
  • Provo, UT
  • NPI 1386980597

  Family Medicine

  NPD (past)
• Dennis C Hess, M.D.

  • Family Medicine Physician
  • Provo, UT
  • NPI 1326035080
  NPD (past)
• Richard J Holmes, M.D.

  • Family Medicine Physician
  • Provo, UT
  • NPI 1083601942
  NPD (past)
• Michael Dee Koplin, LCSW

  • Clinical Social Worker
  • Provo, UT
  • NPI 1538281001
  NPD (past)
• Brian C Platt, P.A.

  • Medical Physician Assistant
  • Provo, UT
  • NPI 1114914736
  NPD (past)
• Boyd D Tanner, PA.C

  • Physician Assistant
  • Provo, UT
  • NPI 1932249539
  NPD (past)
• James A Woodmansee III, M.D.

  • Family Medicine Physician
  • Provo, UT
  • NPI 1093703530
  NPD (past)

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1407036189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 N UNIVERSITY PKWY",
            "address_2": "SUITE 1A",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846041509",
            "telephone_number": "801-377-3413",
            "fax_number": "801-655-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 N UNIVERSITY PKWY",
            "address_2": "SUITE 1A",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846041509",
            "telephone_number": "801-377-3413",
            "fax_number": "801-655-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTONTREE FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "MANHART",
        "authorized_official_first_name": "SHAUNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-377-3413"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407036189",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Cossey, HSW
• Rylie Lannigan Cote
• David R Cottam, M.D.
• Garrett Petty Cotterell
• Sharon Elizabeth Cottle, MSW
• Courage Briant Cottrell
• Cynthia Coulon
• Jeremy Lee Coulson, PT
• Counseling Made Simple PLLC
• Country View Assisted Living LLC

• Family Medicine Physician in Provo, UT
• Providers in Provo, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.