PEGGY MARIA BODAMER (NPI# 1083229504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083229504 |
| Entity Type | Individual |
| Full Name | PEGGY MARIA BODAMER |
| Other Name | PEGGY MARIA ECHEVERRIA |
| Credential | RN |
| Practice Address |
5475 S 500 E Ogden UT 84405-6905 |
| Practice Telephone | 8014792560 |
| Practice Fax Number | 8014792995 |
| Mailing Telephone | 8014792560 |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2020-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WN0002X |
Registered Nurse Specialization: Neonatal Intensive Care |
7337054-3102 | UT | Nursing Service Providers |
| N | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
73370543102 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5475 S 500 E |
| City | OGDEN |
| State | UT |
| Zip Code | 84405-6905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972598506 | Clayton A Bass | Emergency Medicine | 5475 S 500 E, Ogden, UT 84405-6905 | 2005-09-20 |
| 1487277059 | Brady James Layton | Registered Nurse | 5475 S 500 E, Ogden, UT 84405-6905 | 2020-05-18 |
| 1366077273 | Nph Anesthesia of Utah, LLC | Anesthesiology | 5475 S 500 E, Ogden, UT 84405-6905 | 2020-03-11 |
| 1871094177 | Brittney Kimiko Taylor | Physician Assistant | 5475 S 500 E, Ogden, UT 84405-6905 | 2018-02-22 |
| 1346667235 | Trent Suggs | Psychiatry & Neurology | 5475 S 500 E, Ogden, UT 84405-6905 | 2014-03-28 |
| 1538506472 | Amber Nicole Mackey Wilson | Psychiatry & Neurology | 5475 S 500 E, Ogden, UT 84405-6905 | 2013-06-02 |
| 1215235965 | David Whitney Stanley | Hospitalist | 5475 S 500 E, Ogden, UT 84405-6905 | 2011-03-04 |
| 1356642094 | Emmalee Thompson | Registered Nurse | 5475 S 500 E, Ogden, UT 84405-6905 | 2010-11-11 |
| 1790094902 | Kris Morris | Registered Nurse | 5475 S 500 E, Ogden, UT 84405-6905 | 2010-10-05 |
| 1962711275 | Susan Jean Tietjen | Health Educator | 5475 S 500 E, Ogden, UT 84405-6905 | 2010-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669028171 | Alyssa House | Behavioral Analyst | 4933 1500 West #110, Riverdale, UT 84405 | 2019-08-12 |
| 1518525989 | Petersen Farms Assisted Living & Memory Care | Assisted Living Facility | 6980 S. 475 E., South Weber, UT 84405 | 2019-05-31 |
| 1376038141 | National Vision, Inc. | Technician/Technologist | 821 West Riverdale Road, Riverdale, UT 84405 | 2018-06-25 |
| 1194218461 | South Weber City | Ambulance | 7365 S 1375 E, South Weber, UT 84405 | 2018-06-12 |
| 1528572682 | Sandra Jo Scott | Dental Hygienist | 264 W Ridgeline Dr, Washington Terrace, UT 84405 | 2017-11-28 |
| 1376079061 | Loretta Shupe | Registered Nurse | 5319 S 500 E, Ogden, UT 84405 | 2017-05-02 |
| 1134661374 | Randy Ferrin | Registered Nurse | 5697 Maplewood Drive, South Ogden, UT 84405 | 2016-11-04 |
| 1871046284 | Karla Rosen | Counselor | 5202 S. Freeway Park Dr., Riverdale, UT 84405 | 2016-08-02 |
| 1053784520 | Jenifer Rebecca Nilson Smith | Physical Therapist | 5648 S. Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| 1972976454 | Jenniferlyn Fletcher | Physical Therapy Assistant | 5648 South Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| Find all providers in zip 84405 | ||||
| Taxonomy Code | 163WN0002X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Neonatal Intensive Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528688264 | Mckenna Kelly Vance | Registered Nurse | 4401 Harrison Blvd, Ogden, UT 84403-3195 | 2020-04-22 |
| 1821618000 | Tami Greaves Halford | Registered Nurse | 4401 Harrison Blvd, Ogden, UT 84403-3195 | 2020-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952438 | Ashley Mantle | Registered Nurse | University of Utah Hospital 50 N Medical Drive, Salt Lake City, UT 84132-0001 | 2020-04-29 |
| 1427678622 | Christine Marie Canfield | Registered Nurse | 4101 Mountainbrook Way, Mountain Green, UT 84050-8723 | 2020-04-17 |
| 1659903276 | Amy Sarah Thompson | Registered Nurse | 2468 W 1675 S, West Haven, UT 84401-6766 | 2020-02-11 |
| 1073139853 | Charity Bushati | Registered Nurse | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-06-17 |
| 1104457522 | Dixyann Smith | Registered Nurse | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2020-02-04 |
| 1184255952 | Tyler Scott Dunyon | Registered Nurse | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-01-30 |
| 1912428103 | Angela Renee Oliver Piquette | Registered Nurse | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2017-06-28 |
| 1750619227 | Mindy Armington | Registered Nurse | 50 N Medical Dr, Salt Lake City, UT 84132-5880 | 2009-11-22 |
Please comment or provide details below to improve the information on PEGGY MARIA BODAMER.
| 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.