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THETA MANAGEMENT CORPORATION NPI 1891036497


NPI Information

NPI: 1891036497
Provider Name: THETA MANAGEMENT CORPORATION

Doing Business As: THETA WELLNESS CENTER

Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization
Address:
524 W 300 N
SUITE 102
PROVO, UT
ZIP 84601
Phone: (801) 852-1400
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THETA MANAGEMENT CORPORATION is a nurse practitioner in Provo, UT. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. THETA MANAGEMENT CORPORATION NPI is 1891036497. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Theta Wellness Center.

The provider's business location address is:

524 W 300 N
SUITE 102
PROVO, UT
ZIP 84601-667
Phone: (801) 852-1400

The provider's authorized official is Kendra A. Bernal .
The authorized official title is Office Manager and has the following contact phone number (801) 852-1400.

The enumeration date for this NPI number is 3/6/2013 and was last updated on 3/6/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)UTAHNo
2101YM0800XCounselorMental HealthUTAHNo
3103T00000XPsychologistUTAHNo
4103TA0400XPsychologistAddiction (Substance Use Disorder)UTAHNo
51041C0700XSocial WorkerClinicalUTAHNo
6111N00000XChiropractorUTAHNo
7133NN1002XNutritionistNutrition, EducationUTAHNo
8163WA0400XRegistered NurseAddiction (Substance Use Disorder)UTAHNo
9163WC0400XRegistered NurseCase ManagementUTAHNo
10164W00000XLicensed Practical NurseUTAHNo
11171M00000XCase Manager/Care CoordinatorUTAHNo
12174H00000XHealth EducatorUTAHNo
13175L00000XHomeopathUTAHNo
14246RP1900XTechnician, PathologyPhlebotomyUTAHNo
15363L00000XNurse PractitionerUTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.