Kristopher Jon Wentworth

Case Manager/Care Coordinator · Roosevelt, UT

Individual Active NPI

NPI number 1063299774

Practice location

285 W 800 S
Roosevelt, UT 84066-3707
Phone
(435) 725-6300
Fax
(435) 725-6325

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NPI record

NPI
1063299774
Entity type
Individual (Type 1)
Enumeration date
September 14, 2023
Last updated
January 25, 2024
Certified
January 25, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X F23-109820 UT
Community Health Worker 172V00000X — —

Mailing address

1140 W 500 S Ste 9
Vernal, UT 84078-2912
Phone
(435) 725-6300
Fax
(435) 725-6325

About Kristopher Wentworth

Kristopher Jon Wentworth is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 285 W 800 S, Roosevelt, UT 84066-3707. The NPI number 1063299774 was assigned on September 14, 2023 and the record was last updated on January 25, 2024.

Kristopher Wentworth lists a license in the registry: #F23-109820 (UT) for Case Manager/Care Coordinator. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kristopher Jon Wentworth?

The NPI number is 1063299774.

What is the phone number of Kristopher Wentworth?

The phone number listed for the practice location is (435) 725-6300.

Where is Kristopher Wentworth located?

285 W 800 S, Roosevelt, UT 84066-3707.

What is the taxonomy code for Kristopher Wentworth?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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