MS. MARDI BRUNER BARTHOLDT (NPI# 1356695175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356695175 |
| Entity Type | Individual |
| Full Name | MS. MARDI BRUNER BARTHOLDT |
| Credential | APRN |
| Practice Address |
1350 E 750 N Orem UT 84097-4345 |
| Practice Telephone | 8018522100 |
| Mailing Telephone | 8018522100 |
| Enumeration Date | 2012-10-31 |
| Last Update Date | 2012-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
195656-4408 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1350 E 750 N |
| City | OREM |
| State | UT |
| Zip Code | 84097-4345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629071402 | Patricia Jean Bowling | Psychiatry & Neurology | 1350 E 750 N, Orem, UT 84097-4345 | 2005-05-24 |
| 1780194712 | Lorraine P Brimhall | Physician Assistant | 1350 E 750 N, Orem, UT 84097-4345 | 2017-10-04 |
| 1831520535 | Jeremy Cottle | Social Worker | 1350 E 750 N, Orem, UT 84097-4345 | 2013-12-05 |
| 1730529421 | Mitchell T Shepherd | Physician Assistant | 1350 E 750 N, Suite 1, Orem, UT 84097-4345 | 2013-06-27 |
| 1912341256 | Uhs of Provo Canyon Inc | Pharmacy | 1350 E 750 N, Orem, UT 84097-4345 | 2013-04-17 |
| 1457617409 | Uhs of Provo Canyon, Inc. | Psychiatric Hospital | 1350 E 750 N, Orem, UT 84097-4345 | 2012-04-04 |
| 1073829057 | Universal Healthservices Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1350 E 750 N, North Orem Medicaid, Orem, UT 84097-4345 | 2010-08-27 |
| 1164737094 | Samuel W Hill | Marriage & Family Therapist | 1350 E 750 N, Orem, UT 84097-4345 | 2010-08-16 |
| 1922249242 | Provo Canyon School Inc | Psychiatric Residential Treatment Facility | 1350 E 750 N, Orem, UT 84097-4345 | 2009-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700392735 | Scott Harris | Chiropractor | 1425 S State St, Orem, UT 84097 | 2017-12-28 |
| 1457870990 | Summit Laboratory Services | Pathology | 1480 East 820 North, Orem, UT 84097 | 2017-09-15 |
| 1144759275 | White Smiles Family Dentistry | Clinic/Center | 594 E 800 S Suite G, Orem, UT 84097 | 2017-06-12 |
| 1801322367 | Mallory Hendrickson | Assistant Behavior Analyst | 744 E 1650 S, Orem, UT 84097 | 2017-05-03 |
| 1841648664 | National Vision, Inc. | Technician/Technologist | 545 E University Pkwy, Ste 103, Orem, UT 84097 | 2016-06-02 |
| 1538435045 | Wasatch Mental Health | Case Management | 1127 N 1450 E, Orem, UT 84097 | 2012-03-29 |
| 1366720104 | Deseret Counseling Inc | Social Worker | 1325 South 800 East, Suite 115 Room 115 B, Orem, UT 84097 | 2011-07-27 |
| 1598056053 | Uhs of Provo Canyon Inc | Psychiatric Residential Treatment Facility | 1350 E 750 North, Orem, UT 84097 | 2011-05-02 |
| 1659677219 | Francisco Xavier Ampuero | Counselor | 1015 So. State Street, Bsmt. Office, Orem, UT 84097 | 2011-01-31 |
| 1275835449 | Pursonna Tuiletufuga | Counselor | 1160 South Main Street, Suite 180a, Orem, UT 84097 | 2010-11-22 |
| Find all providers in zip 84097 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467606228 | Marilyn Louise Little | Clinical Nurse Specialist | 198 W 7200 S, Midvale, UT 84047-3749 | 2008-11-06 |
| 1922202282 | Robin Jacobs | Clinical Nurse Specialist | 1174 E Graystone Way Ste 4, Slc, UT 84106-2671 | 2007-06-12 |
| 1154408805 | Lynne L Gagon | Clinical Nurse Specialist | 147 E Main St, Vernal, UT 84078-2643 | 2006-11-01 |
| 1063504025 | Lynda Sue Baum | Clinical Nurse Specialist | 881 W State Rd Ste 140-429, Pleasant Grove, UT 84062-2131 | 2006-09-28 |
| 1053398610 | Connie Hall Strong | Clinical Nurse Specialist | 22 S State St, Clearfield, UT 84015-1043 | 2005-12-26 |
| 1144223678 | Mark Dudley | Clinical Nurse Specialist | 1399 S 700 E Ste 11b, Salt Lake City, UT 84105-2149 | 2005-05-30 |
| 1144315110 | Joan L Hadley | Clinical Nurse Specialist | 5005 S 900 E, Suite 100, Murray, UT 84117-5788 | 2006-10-04 |
| 1285736926 | Marie Kathleen Acree | Clinical Nurse Specialist | 650 E 4500 S, Suite 300, Salt Lake City, UT 84107-2900 | 2006-09-02 |
| 1154383206 | Carolyn Louise Anich | Clinical Nurse Specialist | 500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2006-04-04 |
| 1417934324 | Rebecca Lucille | Clinical Nurse Specialist | 5965 S 900 E, Suite 240, Salt Lake City, UT 84121-1720 | 2005-12-30 |
| Find all providers with the same taxonomy | ||||
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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.