Malinda M Caldwell, BA
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Eagle Mountain, UT
NPI 1689343154 · NPPES record last updated Jan 2, 2022
Key facts
- NPI
- 1689343154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 3545 E Franklin Dr
Eagle Mountain, UT 84005-5839 - Phone
- (208) 227-3743
- NPI assigned
- Sep 8, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
3545 E Franklin Dr
Eagle Mountain, UT 84005-5839
Mailing address
750 N Freedom Blvd Ste 300
Provo, UT 84601-1690
Phone (801) 852-4714
NPI Registry JSON
{
"created_epoch": "1631059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641081600000",
"number": "1689343154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 N FREEDOM BLVD STE 300",
"city": "PROVO",
"state": "UT",
"postal_code": "846011690",
"telephone_number": "801-852-4714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3545 E FRANKLIN DR",
"city": "EAGLE MOUNTAIN",
"state": "UT",
"postal_code": "840055839",
"telephone_number": "208-227-3743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDWELL",
"first_name": "MALINDA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "BA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-08",
"last_updated": "2022-01-02",
"certification_date": "2022-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagle Mountain, UT
- Elena Hansen Buhler
- Emily Burditt
- Garrett Burgon
- Crystal Caldwell
- Karli Caldwell
- Rachel Alaina Callihan
- Levi Calveri
- Jayson Carmona
- Dena Henley Carnes
- Cherokee Carrillo
All providers in Eagle Mountain, UT · Student in an Organized Health Care Education/Training Program in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2022. 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.