MRS. DEBRA J WING (NPI# 1134228166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134228166 |
| Entity Type | Individual |
| Full Name | MRS. DEBRA J WING |
| Other Name | MS. DEBRA JORDAN |
| Credential | APRN |
| Practice Address |
557 W 2600 S Bountiful UT 84010-7717 |
| Practice Telephone | 8012989155 |
| Practice Fax Number | 8012989156 |
| Mailing Telephone | 8012989155 |
| Mailing Fax Number | 8012989156 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0000X |
Registered Nurse Specialization: Pain Management |
4930416-4405 | UT | Nursing Service Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
4930416-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
4930416-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
184272-0 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
557 W 2600 S |
| City | BOUNTIFUL |
| State | UT |
| Zip Code | 84010-7717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447256953 | Ralph David Wade | Family Medicine | 557 W 2600 S, Bountiful, UT 84010-7747 | 2005-06-21 |
| 1508410622 | Lindsay S Martinez | Nurse Practitioner | 557 W 2600 S, Bountiful, UT 84010-7717 | 2019-07-26 |
| 1124549100 | Niesha R Nelson | Nurse Practitioner | 557 W 2600 S, Bountiful, UT 84010-7717 | 2017-06-29 |
| 1609226091 | Brittaney Lee Cahoon | Nurse Practitioner | 557 W 2600 S, Bountiful, UT 84010-7717 | 2016-06-15 |
| 1063759215 | Sean L. Webster | Physician Assistant | 557 W 2600 S, Bountiful, UT 84010-7717 | 2013-01-08 |
| 1073875126 | David L Badham | Physician Assistant | 557 W 2600 S, Bountiful, UT 84010-7717 | 2012-06-14 |
| 1558597831 | Wade Family Medicine, Inc. | Family Medicine | 557 W 2600 S, Bountiful, UT 84010-7747 | 2009-06-01 |
| 1790933216 | Hannah Belnap-gunn | Physician Assistant | 557 W 2600 S, Bountiful, UT 84010-7717 | 2008-09-09 |
| 1003080409 | Allison Hanna | Family Medicine | 557 W 2600 S, Bountiful, UT 84010-7717 | 2008-04-16 |
| 1801850755 | Allen Freestone | Family Medicine | 557 W 2600 S, Bountiful, UT 84010-7717 | 2006-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225699192 | Jessyca K Willie | Behavior Technician | 415 S. Medical Drive Suite D101, Bountiful, UT 84010 | 2019-06-21 |
| 1336634344 | Shanna Joy Jaggers | Social Worker | 2333 S 200 E, Bountiful, UT 84010 | 2018-06-22 |
| 1447773171 | Live Life Alarms | Emergency Response System Companies | 640 South 500 West, Bountiful, UT 84010 | 2017-07-25 |
| 1902328842 | Hailey Embley | Behavior Technician | 415 Medical Drive D 101, Bountiful, UT 84010 | 2017-07-12 |
| 1508318031 | Beverly Nielsen | Psychologist | 1001 Lakeview Drive, Bountiful, UT 84010 | 2016-11-01 |
| 1295287720 | Samantha Oslund | Speech-Language Pathologist | 415 Medical Dr Ste B102, Bountiful, UT 84010 | 2016-11-01 |
| 1750748273 | Jeremy Clark Morris | Dentist | 59 W 1600 N, Suite 110, Bountiful, UT 84010 | 2016-01-28 |
| 1629464706 | Shane James | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010 | 2015-04-15 |
| 1891186102 | Kenton Francis | Social Worker | 1355 North Main Street #1, Bountiful, UT 84010 | 2015-02-09 |
| 1205233855 | Modern Dental Professionals - Utah, PC | Dentist | 24 S. 500 West, #a, Bountiful, UT 84010 | 2014-11-25 |
| Find all providers in zip 84010 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598374357 | David Zobell | Nurse Practitioner | 1389 S 325 E, Bountiful, UT 84010-5157 | 2020-07-28 |
| 1740561604 | Monique Kovacs | Nurse Practitioner | 179 W 300 N, Bountiful, UT 84010-6124 | 2011-09-06 |
| 1104296623 | Lauren Lightfield | Nurse Practitioner | 458 N 500 W, Bountiful, UT 84010 | 2015-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891304309 | Karen Marie Dewey | Nurse Practitioner | 6006 S Ginger St, Taylorsville, UT 84129-5130 | 2020-07-30 |
| 1194353268 | Kassandra Olson | Nurse Practitioner | 3151 E 3900 S, Salt Lake City, UT 84124-2143 | 2020-04-01 |
| 1861029696 | Darienne Autumn Rae Anderson | Nurse Practitioner | 7199 N Golden Ridge Dr, Eagle Mountain, UT 84005-6287 | 2020-03-23 |
| 1225662448 | Amelia H Teas | Nurse Practitioner | 1388 W 2350 S, Woods Cross, UT 84087-2427 | 2020-02-26 |
| 1528690930 | Marcia Davis | Nurse Practitioner | 3595 S 1550 W, Saint George, UT 84790-7789 | 2020-02-04 |
| 1790322667 | Jenifer Foley | Nurse Practitioner | 13757 S Shaggy Mountain Rd, Herriman, UT 84096-3225 | 2019-12-10 |
| 1609426659 | Loriann Stromness | Nurse Practitioner | 5121 S Cottonwood St Ste 700, Salt Lake City, UT 84107-5701 | 2019-09-11 |
| 1447802418 | Amanda Nichole Eckersley | Nurse Practitioner | 8th Avenue C Street, Salt Lake City, UT 84143-0001 | 2019-07-10 |
| 1962066795 | Scott Belnap | Nurse Practitioner | 4823 W Red Admiral Dr, Riverton, UT 84096-6936 | 2019-04-26 |
| 1750858643 | Kristen Elena Gooch | Nurse Practitioner | 36 S State St Ste 2100, Salt Lake City, UT 84111-1472 | 2018-10-29 |
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| 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.