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: July 19, 2026.

  • Individual
  • Male
  • Case Manager/Care Coordinator

About ETHAN ANDERSON

This page provides the complete NPI Profile along with additional information for Ethan Anderson, a provider established in Provo, Utah with a medical specialization in Case Manager/care Coordinator. The healthcare provider is registered in the NPI registry with number 1538033857 assigned on September 2025. The practitioner's primary taxonomy code is 171M00000X. The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1538033857 Verify this NPI
Provider Name
ETHAN ANDERSON
Gender
Male
Entity Type
Individual
Location Address
1157 E 300 N PROVO, UT 84606
Location Phone
(801) 852-2131
Mailing Address
750 N FREEDOM BLVD STE 300 PROVO, UT 84601
Is Sole Proprietor?
No
Enumeration Date
09-30-2025
Last Update Date
09-30-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Case Manager/Care Coordinator

Taxonomy Code
171M00000X
Type
Other Service Providers
Taxonomy Description
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.

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Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Peer Specialist
1157 E 300 N
PROVO, UT 84606
Case Manager/Care Coordinator
1157 E 300 N
PROVO, UT 84606
Case Manager/Care Coordinator
1157 E 300 N
PROVO, UT 84606
Case Manager/Care Coordinator
1157 E 300 N
PROVO, UT 84606
Case Manager/Care Coordinator
1157 E 300 N
PROVO, UT 84606
Student in an Organized Health Care Education/Training Program
1157 E 300 N
PROVO, UT 84606
Case Manager/Care Coordinator
1157 E 300 N
PROVO, UT 84606
Case Manager/Care Coordinator
1157 E 300 N
PROVO, UT 84606
Registered Nurse (Psychiatric/Mental Health)
1157 E 300 N
PROVO, UT 84606
Student in an Organized Health Care Education/Training Program
1157 E 300 N
PROVO, UT 84606
Registered Nurse (Psychiatric/Mental Health)
1157 E 300 N
PROVO, UT 84606
Registered Nurse (Psychiatric/Mental Health)
1157 E 300 N
PROVO, UT 84606
Counselor (Mental Health)
1157 E 300 N
PROVO, UT 84606

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538033857, enumerated as an "individual" on September 30, 2025.

The provider is located at 1157 E 300 N PROVO, UT 84606 and the phone number is (801) 852-2131.

Case Manager/Care Coordinator with taxonomy code 171M00000X.