=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093665218
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CHANDLER LINDLEY
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/28/2026
-----------------------------------------------------
Last Update Date | 01/28/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3784 W VALLEY VIEW DR
-----------------------------------------------------
City | CEDAR HILLS
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84062-8085
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 801-407-9998
-----------------------------------------------------
Fax | 385-354-6539
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4343 W DIXON WAY
-----------------------------------------------------
City | LEHI
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84048-6861
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 801-407-9998
-----------------------------------------------------
Fax | 385-354-6539
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171M00000X
-----------------------------------------------------
Taxonomy Name | Case Manager/Care Coordinator
-----------------------------------------------------
License Number | F26-139074
-----------------------------------------------------
License Number State | UT
-----------------------------------------------------