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Deactivated NPI 1750749412 Deactivated / Inactive NPI Male Practitioner

Jarom Williams

Peer Specialist • Provo, UT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jarom Williams has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 09, 2016
NPI Deactivation Date March 03, 2021
Total Practice Duration ~5 Years of Practice (2016 – 2021)

Professional Overview & Biography Verified Profile Summary

Jarom Williams was a registered Peer Specialist practicing in Provo, UT. Throughout an active medical career spanning 5 years, Jarom Williams provided care at the practice location at 750 N 200 W until profile deactivation on 2021-03-03.

Practice Location & Contact Primary Location

Practice Address

750 N 200 W

Provo, UT 846011677

Telephone 8018523779
Fax 8013747304
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Provo, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
64 Specialists

Practicing in Provo, UT (474 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Daisy Becker

Student in an Organized Health Care Education/Training Program

NPI 1093508095
Lareita Berky

Student in an Organized Health Care Education/Training Program

NPI 1245879956

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 03, 2021

Record deactivated on March 03, 2021

NPI Profile Active February 09, 2016

NPI status registered as active in NPPES database

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Updated Practice Location February 09, 2016

Registered at 750 N 200 W, PROVO, UT 846011677 (Tel: 8018523779)

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Updated Business Mailing Address February 09, 2016

Registered at 750 N 200 W, PROVO, UT 846011677 (Tel: 8018523779)

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Provider Name / Credentials Updated February 09, 2016

Recorded as JAROM WILLIAMS

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2016

Peer Specialist

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Initial NPI Registration & Enumeration February 09, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750749412
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 09, 2016
Last Update: February 09, 2016
Deactivation Date: March 03, 2021

Mailing Address

750 N 200 W

Provo, UT 846011677

Phone: 8018523779

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.