Cassidy Allen, CCM
Individual provider Active NPI Case Manager/Care Coordinator · Provo, UT
NPI 1992134282 · NPPES record last updated Nov 6, 2013
Key facts
- NPI
- 1992134282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 750 N Freedom Blvd
Provo, UT 84601-1677 - Phone
- (801) 373-4760
- NPI assigned
- Nov 6, 2013
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
750 N Freedom Blvd
Provo, UT 84601-1677
Mailing address
750 N Freedom Blvd
Provo, UT 84601-1677
Phone (801) 960-1615
Other providers in Provo, UT
- Kristine Allan
- Allen Psychiatry LLC
- Andralee Allen
- Aria Chantelle Allen
- Brian Merlin Allen
- Emma Elizabeth Allen
- Jason Allen
- Jason Marshall Allen
- Joshua John Allen
- Marvin R Allen
All providers in Provo, 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 Nov 6, 2013. 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.