DEDE B LEWIS (NPI# 1023123627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023123627 |
| Entity Type | Individual |
| Full Name | DEDE B LEWIS |
| Credential | P.T. |
| Practice Address |
2295 Foothill Dr Salt Lake City UT 84109-4000 |
| Practice Telephone | 8014867542 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 114238-2401 | UT | Other Service Providers |
| Street Address |
2295 FOOTHILL DR |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84109-4000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780615658 | Shana K. Eborn | Family Medicine | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 | 2006-07-06 |
| 1346559846 | Andrea Cook | Physician Assistant | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 | 2010-09-30 |
| 1578772109 | Alexander Paul Clark | Family Medicine | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 | 2007-05-21 |
| 1023237088 | Heather A Jackson | Family Medicine | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 | 2007-04-25 |
| 1407947005 | Foothill Clinic, LLC | Family Medicine | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 | 2006-09-27 |
| 1255441481 | Canyon Rim Physical Therapy LLC | Clinic/Center | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 | 2006-08-30 |
| 1689789281 | Stephen M Shupe | Specialist | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 | 2006-08-21 |
| 1427062330 | Einat S Green | Physical Therapist | 2295 Foothill Dr, Salt Lake City, UT 84109 | 2006-07-28 |
| 1700811023 | Ross A. Brunetti | Family Medicine | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 | 2006-07-12 |
| 1316962442 | James T. Peterson | Family Medicine | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 | 2006-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102095 | Aimee Hadfield | Social Worker | Hearten House, 314 W. Broadway #222, Salt Lake City, UT 84109 | 2020-07-23 |
| 1245877448 | Carla Lucile Applegate-anderson | Nurse Practitioner | 2666 South 2000 East, Suite 101, Salt Lake City, UT 84109 | 2019-12-06 |
| 1063991982 | Madison Sanderson | Physical Therapist | 2295 S Foothill Dr Ste 1, Salt Lake City, UT 84109 | 2018-08-10 |
| 1023545951 | Tyler Dale Hanks | Dentist | 2435 E 3300 S, Suite 101, Millcreek, UT 84109 | 2017-05-23 |
| 1992198881 | Cynthia R Thorpe | Marriage & Family Therapist | 2624 East Mount Crest Drive, Salt Lake City, UT 84109 | 2015-03-17 |
| 1104247295 | John Paul Lapine | Dentist | 3865 South 3500 East Ste. 201, Salt Lake City, UT 84109 | 2013-12-17 |
| 1073850301 | Weston J Horne | Massage Therapist | 2760 South 1174 East, Suite 1d, Salt Lake City, UT 84109 | 2013-01-07 |
| 1538415138 | Dominic Falsone | Counselor | 3846 Villa Dr, Salt Lake City, UT 84109 | 2012-08-01 |
| 1487926341 | Richard R Flynn | Pediatrics | 2342 Dallin St., Salt Lake City, UT 84109 | 2012-02-07 |
| 1235449984 | Keyhan Koohgivi | Pharmacist | 2566 East Sage Way, Salt Lake City, UT 84109 | 2010-10-15 |
| Find all providers in zip 84109 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437533932 | Krystal Ahlstrom | Specialist | 544 E Wilmington Ave, Salt Lake City, UT 84106-1419 | 2015-07-14 |
| 1528460607 | John Miller Holman Jr. | Specialist | 4765 S Ichabod St, Salt Lake City, UT 84117-6461 | 2014-09-21 |
| 1750795423 | Judy Denise Wall | Specialist | 4425 S Camille St, Salt Lake City, UT 84124-3624 | 2014-06-20 |
| 1821434424 | Robert Bradley Wray | Specialist | 2665 E. Parleys Way, #204, Salt Lake City, UT 84109-1672 | 2013-05-22 |
| 1295170850 | Rodolphe Ruffy | Specialist | 4228 S Park Terrace Dr, Salt Lake City, UT 84124-3417 | 2013-05-08 |
| 1063857159 | Afshin Ahmadiyan | Specialist | 2431 E Catalina Dr, Salt Lake City, UT 84121-3939 | 2013-05-03 |
| 1508112426 | Floyd Jackson Millet | Specialist | 2015 Scenic Dr, Salt Lake City, UT 84108-3317 | 2012-07-29 |
| 1386904043 | David Earl Moore | Specialist | 500 Foothill Blvd (research), George E. Wahlen Va Healthcare System, Salt Lake City, UT 84148 | 2012-05-29 |
| 1437422995 | Brent Farr Robertson | Specialist | 1321 E South Temple, 5, Salt Lake City, UT 84102-1830 | 2012-02-14 |
| 1861787756 | William Halls | Specialist | 171 3rd Ave, # 310, Salt Lake City, UT 84103-5006 | 2011-06-18 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84109 |
Please comment or provide details below to improve the information on DEDE B LEWIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.