Active NPI
Alisha Pauline Cleek
- Community Health Worker
- Provo, UT
National Provider Identifier
1740886910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 836 N 1375 W
Provo, UT 84604-3049 - Phone
- (801) 375-2523
- NPI assigned
- Dec 11, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
836 N 1375 W
Provo, UT 84604-3049
Mailing address
299 N 200 W
Bountiful, UT 84010-7043
Phone (801) 815-3443
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youth Health Associates | Past | Accepting new patients | |
| Youth Health Associates, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric Residential Treatment Facility
- Provo, UT
- NPI 1881011369
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Provo, UT
- NPI 1750766713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607644800000",
"number": "1740886910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "299 N 200 W",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840107043",
"telephone_number": "801-815-3443",
"fax_number": "801-683-8962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 N 1375 W",
"city": "PROVO",
"state": "UT",
"postal_code": "846043049",
"telephone_number": "801-375-2523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEEK",
"first_name": "ALISHA",
"middle_name": "PAULINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-11",
"last_updated": "2020-12-11",
"certification_date": "2020-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.