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ETHAN ANDERSON
NPI 1538033857
Case Manager/Care Coordinator in Provo, UT

Active since September 30, 2025

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ethan Anderson NPPES

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

ETHAN ANDERSON (NPI 1538033857) is an individual case manager/care coordinator provider in Provo, Utah and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1538033857
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameETHAN ANDERSON
Location Address1157 E 300 NProvo, UT 84606-3539
Mailing Address750 N Freedom Blvd Ste 300Provo, UT 84601-1690
Phone(801) 852-2131
Sole ProprietorNo
Enumeration DateSeptember 30, 2025
NPPES CertifiedSeptember 30, 2025
✔ NPI 1538033857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
1157 E 300 N, Provo, UT 84606
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Other Providers at the Same Location NPPES 16

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

CHRISTINA WOOD HYER
Student in an Organized Health Care Education/Training Program
1157 E 300 N
PROVO, UT 84606
Utah County (801) 373-4760
TIMOTHY BUCK
Counselor (Mental Health)
1157 E 300 N
PROVO, UT 84606
Utah County (801) 373-4760
ALANIS GUISELLE DOMINGUEZ FERNANDEZ
Registered Nurse (Psychiatric/Mental Health)
1157 E 300 N
PROVO, UT 84606
Utah County (801) 852-4510
ALLISON ELMONT
Registered Nurse (Psychiatric/Mental Health)
1157 E 300 N
PROVO, UT 84606
Utah County (801) 852-2131
BRIANNA WALKER
Case Manager/Care Coordinator
1157 E 300 N
PROVO, UT 84606
Utah County (801) 852-2131
TREMAINE CHARLES LOMAX
Peer Specialist
1157 E 300 N
PROVO, UT 84606
Utah County (801) 852-2131
CAMERON DAVID WILBUR
Student in an Organized Health Care Education/Training Program
1157 E 300 N
PROVO, UT 84606
Utah County (801) 373-4760
ARYANA GREEN
Social Worker
1157 E 300 N
PROVO, UT 84606
Utah County (801) 494-0880

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 Ethan Anderson's NPI number?

The NPI number for Ethan Anderson is 1538033857. It was assigned to this individual provider in the NPPES registry on September 30, 2025.

Where is Ethan Anderson located?

Ethan Anderson practices at 1157 E 300 N, Provo, UT 84606. The listed phone number is (801) 852-2131.

What is Ethan Anderson's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Ethan Anderson was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.