1 Source 211 Services

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

Legal business name

1 SOURCE 211 SERVICES

Practice address

955 E 200 S
Salt Lake City, UT 84102-2432

Phone

(702) 462-0067

NPI assigned

Jul 21, 2023

Organization subpart

No

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

Authorized official

Name

Miss Taundria R Duncan, ADVOCATE/ CNANPI 1235816265

Title

Public Service Administrator

Phone

(702) 462-0067

Specialties & licenses 1

Addresses

Other names 1

• We Source Former legal business name

Practitioners 2

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

• Taundria Duncan, CNA

  • Voluntary or Charitable Agency
  • Salt Lake City, UT
  • NPI 1235816265
  NPD Authorized official
• Marsean Jerelle Hardaway, YOUTH INTAKE ADMIN

  • Student in an Organized Health Care Education/Training Program
  • Las Vegas, NV
  • NPI 1245910413
  NPD

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719014400000",
    "number": "1407536766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 633",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841100633",
            "telephone_number": "702-462-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 E 200 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022432",
            "telephone_number": "702-462-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1 SOURCE 211 SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-21",
        "last_updated": "2024-06-22",
        "certification_date": "2024-06-22",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "TAUNDRIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PUBLIC SERVICE ADMINISTRATOR",
        "authorized_official_telephone_number": "702-462-0067",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "ADVOCATE/ CNA"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "We Source",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• 1918 Winter Street Operating Co LLC
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• Public Health & General Preventive Medicine Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Public Health & General Preventive Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2024; 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.