DR. BRIANNA LASTRE (NPI# 1194157123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194157123 |
| Entity Type | Individual |
| Full Name | DR. BRIANNA LASTRE |
| Credential | DNP, WHNP, CNM |
| Practice Address |
1446 W Pleasant Grove Blvd. Pleasant Grove UT 84062 |
| Practice Telephone | 8017855100 |
| Mailing Telephone | 8017855100 |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2013-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
7247318-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1446 W PLEASANT GROVE BLVD. |
| City | PLEASANT GROVE |
| State | UT |
| Zip Code | 84062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467934406 | Welcome Home Assisted Living of American Fork | Assisted Living Facility | 1889 W 930 N, Pleasant Grove, UT 84062 | 2018-09-06 |
| 1497243414 | Doterra Employee Health Systems, LLC | Family Medicine | 1364 Pleasant Grove Blvd., Floor 3, Pleasant Grove, UT 84062 | 2018-04-25 |
| 1720588080 | Us Sports Medicine, LLC | Clinic/Center | 1982 W. Pleasant Grove Blvd, Suite L, Pleasant Grove, UT 84062 | 2018-02-13 |
| 1235669011 | Rapid Reboot Recovery Products LLC | Durable Medical Equipment & Medical Supplies | 1262 W 3150 N, Pleasant Grove, UT 84062 | 2017-06-14 |
| 1497126486 | Trumobility Inc. | Durable Medical Equipment & Medical Supplies | 272 S 671 W, Pleasant Grove, UT 84062 | 2015-10-15 |
| 1295146272 | North County Medical | Chiropractor | 1988 West 930 North Suite Number A, Pleasant Grove, UT 84062 | 2014-05-13 |
| 1861814493 | Trent Edwards | Case Manager/Care Coordinator | 365 West 1420 North, Pleasant Grove, UT 84062 | 2014-01-16 |
| 1013342690 | Michael M. Haderlie | Psychologist | 233 S. Pleasant Grove Blvd, Suite 203, Pleasant Grove, UT 84062 | 2013-09-13 |
| 1356619266 | Melinda Buchanan-emery | Marriage & Family Therapist | 459 East 1000 South, Pleasant Grove, UT 84062 | 2011-12-06 |
| 1356658256 | Amber Muhlestein | Community Health Worker | 1344 West State St, Pleasant Grove, UT 84062 | 2010-09-13 |
| Find all providers in zip 84062 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134514771 | Patience Ann Nelson | Nurse Practitioner | 1886 W 800 N, Pleasant Grove, UT 84062-4097 | 2015-03-31 |
| 1700288727 | Debra Ledingham | Nurse Practitioner | 1886 W 800 N, Pleasant Grove, UT 84062-4097 | 2014-09-22 |
| 1346491610 | Anne-marie Martin | Nurse Practitioner | 1886 W 800 N, Pleasant Grove, UT 84062-4097 | 2008-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225652290 | Angela M Jones | Nurse Practitioner | 7691 S Alida Dr, West Jordan, UT 84084-3889 | 2020-06-04 |
| 1275185845 | Jennifer Hewlett | Nurse Practitioner | 6775 S Meadow Downs Way, Cottonwood Heights, UT 84121-6073 | 2019-07-12 |
| 1538635628 | Sarah Sanns | Nurse Practitioner | 1486 E Skyline Dr Ste 201, Ogden, UT 84405-4877 | 2018-10-16 |
| 1770070260 | Eastern Utah Womens Health LLC | Nurse Practitioner | 77 S 600 E Ste B, Price, UT 84501-3174 | 2018-04-19 |
| 1720503881 | Jennifer Elaine Lazzara | Nurse Practitioner | 3592 W 9000 S Ste 210, West Jordan, UT 84088-8819 | 2017-08-10 |
| 1659726511 | Erin Johnson Cole | Nurse Practitioner | 10 S 2000 E # Slc, Salt Lake City, UT 84112-5880 | 2016-04-28 |
| 1386063048 | Vennie Ying | Nurse Practitioner | 3090 E 3300 S Ste 100, Salt Lake City, UT 84109-2106 | 2014-04-10 |
| 1912339078 | Melanie J Ward | Nurse Practitioner | 5063 S Cottonwood St Ste 120, Murray, UT 84107-6772 | 2013-07-31 |
| 1902112600 | Cecily Light | Nurse Practitioner | 1167 Bryan Ave, Salt Lake City, UT 84105-2507 | 2010-08-19 |
| 1619160280 | Holly Danielle Stewart | Nurse Practitioner | 348 E 4500 S Ste 200, Salt Lake City, UT 84107-3936 | 2007-08-27 |
| Find all providers with the same taxonomy | ||||
| City | PLEASANT GROVE |
| Zip Code | 84062 |
Please comment or provide details below to improve the information on DR. BRIANNA LASTRE.
| 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.