KEITH THOMAS PETAGNA
NPI 1992499362
Case Manager/Care Coordinator in Salt Lake City, UT

Q: What is Keith Petagna's NPI number?

The NPI number for Keith Petagna is 1992499362. It was assigned to this individual provider in the NPPES registry on June 7, 2023.

Q: What is Keith Petagna's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Keith Petagna was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since June 07, 2023

443 S 600 E, SALT LAKE CITY, UT 84102(801) 536-6523 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Keith Thomas Petagna NPPES

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

KEITH THOMAS PETAGNA (NPI 1992499362) is an individual case manager/care coordinator provider in Salt Lake City, Utah, licensed in Utah (F24-112623) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1992499362

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameKEITH THOMAS PETAGNA

Location Address443 S 600 ESalt Lake City, UT 84102-2708

Mailing Address4460 S Highland Dr Ste 120Salt Lake City, UT 84124-3550 · (888) 949-4864

Phone(801) 536-6523

Sole ProprietorNo

Enumeration DateJune 7, 2023

Last NPPES UpdateOctober 17, 2024

NPPES CertifiedOctober 17, 2024

✔ NPI 1992499362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

License✔ Licensed in UT · F24-112623

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.

Also ListedCommunity Health WorkerTaxonomy 172V00000X

443 S 600 E, Salt Lake City, UT 84102

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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.

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