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DERRICK SYVORAVONG
NPI 1376474999
Student in an Organized Health Care Education/Training Program in Provo, UT

Active since May 25, 2026
1800 NOVELL PL, PROVO, UT 84606(801) 375-5125 Get Directions Write a Review

NPPES record last updated: May 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derrick Syvoravong NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERRICK SYVORAVONG (NPI 1376474999) is an individual student in an organized health care education/training program in Provo, Utah and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1376474999
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDERRICK SYVORAVONG
Location Address1800 NOVELL PLProvo, UT 84606-6171
Mailing Address1800 Novell PlProvo, UT 84606-6171
Phone(801) 375-5125
Sole ProprietorYes
Enumeration DateMay 25, 2026
NPPES CertifiedMay 25, 2026
✔ NPI 1376474999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1800 NOVELL PL, Provo, UT 84606
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA WILLMORE HAYES
Student in an Organized Health Care Education/Training Program
1800 NOVELL PL
PROVO, UT 84606
Utah County (801) 375-5125
KAYLEN MCGUIRE PA-S
Student in an Organized Health Care Education/Training Program
1800 NOVELL PL
PROVO, UT 84606
Utah County (801) 375-5125
ELIZABETH WUERCH
Student in an Organized Health Care Education/Training Program
1800 NOVELL PL
PROVO, UT 84606
Utah County (801) 375-5125
RACHEL VELA
Student in an Organized Health Care Education/Training Program
1800 NOVELL PL
PROVO, UT 84606
Utah County (503) 403-8268
LAUREN VICTORIA BROWN
Physician Assistant
1800 NOVELL PL
PROVO, UT 84606
Utah County (801) 200-6741
HALEY ANN EDONE
Student in an Organized Health Care Education/Training Program
1800 NOVELL PL
PROVO, UT 84606
Utah County (801) 375-5125
KELLIE LYNN CAMPBELL
Student in an Organized Health Care Education/Training Program
1800 NOVELL PL
PROVO, UT 84606
Utah County (801) 375-5125
MACKENZIE RIDLEY PA
Student in an Organized Health Care Education/Training Program
1800 NOVELL PL
PROVO, UT 84606
Utah County (801) 375-5125

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derrick Syvoravong's NPI number?

The NPI number for Derrick Syvoravong is 1376474999. It was assigned to this individual provider in the NPPES registry on May 25, 2026.

Where is Derrick Syvoravong located?

Derrick Syvoravong practices at 1800 Novell Pl, Provo, UT 84606. The listed phone number is (801) 375-5125.

What is Derrick Syvoravong's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Derrick Syvoravong was last updated on May 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.