DEVEN WILLARDSON (NPI# 1376033456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376033456 |
| Entity Type | Individual |
| Full Name | DEVEN WILLARDSON |
| Credential | BSN, RN |
| Practice Address |
1350 N 500 E Logan UT 84341-2400 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 4357162800 |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2019-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 8510230-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1350 N 500 E |
| City | LOGAN |
| State | UT |
| Zip Code | 84341-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295707677 | Corey Wyn Walker | Internal Medicine | 1350 N 500 E, Logan, UT 84341-2400 | 2006-02-01 |
| 1790315281 | Stacy Hepner | Advanced Practice Midwife | 1350 N 500 E, Logan, UT 84341-2400 | 2020-01-23 |
| 1083265029 | Amanda E Stott | Family Medicine | 1350 N 500 E, Logan, UT 84341-2400 | 2019-09-20 |
| 1093375727 | Kristiana Hales | Pharmacist | 1350 N 500 E, Logan, UT 84341-2400 | 2019-06-14 |
| 1154826618 | Ihc Health Services Inc | Clinic/Center | 1350 N 500 E, Logan, UT 84341-2400 | 2018-03-27 |
| 1801303003 | Becky Jean Rasmuson | Nurse Practitioner | 1350 N 500 E, Logan, UT 84341 | 2018-01-09 |
| 1558722900 | Ihc Health Services Inc | Family Medicine | 1350 N 500 E, Logan, UT 84341-2400 | 2016-03-14 |
| 1326420639 | Brian Ralph Balls | Physical Therapy Assistant | 1350 N 500 E, Suite 120, Logan, UT 84341-2400 | 2015-06-23 |
| 1073994810 | Benjamin Seale | Physician Assistant | 1350 N 500 E, Logan, UT 84341-2400 | 2015-06-17 |
| 1942681051 | Joshua Allen Lovell | Psychiatry & Neurology | 1350 N 500 E, Logan, UT 84341-2400 | 2015-06-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701529 | Aubrey Salmond | Registered Nurse | 500 East 1500 N, Logan, UT 84341 | 2019-10-11 |
| 1043702046 | Eye Pros of Logan LLC | Optometrist | 1475 N Main St Ste 103, Logan, UT 84341 | 2018-06-05 |
| 1275050452 | Rylie Jeanne Cook | Student in an Organized Health Care Education/Training Program | 11 Aggie Village Apt. J, Logan, UT 84341 | 2017-08-28 |
| 1093262156 | Jessica Lynn Mcgarry | Social Worker | 1040 N 130 W, Apt 100, Logan, UT 84341 | 2016-09-07 |
| 1740663566 | Paul R Gregory | Occupational Therapy Assistant | 1300 N 500 E Suite 120, Suite 120, Logan, UT 84341 | 2015-06-30 |
| 1851708846 | Bradley Budge | Optometrist | 535 E 1400 N Ste 130, Logan, UT 84341 | 2014-07-22 |
| 1386058709 | Daniel Raymond Carlson | Physician Assistant | 500 E. 1400 N., Logan, UT 84341 | 2014-06-13 |
| 1902220239 | Work Injury Solutions Inc. | Clinic/Center | 630 E 1400 N Ste 140, Logan, UT 84341 | 2014-02-06 |
| 1750627287 | Lee Martin Williams Sr. | Counselor | 186 E. 1800 N., North Logan, UT 84341 | 2013-01-03 |
| 1669747804 | Ronald J Payne | Internal Medicine | 1726 North 1850 East, North Logan, UT 84341 | 2012-03-21 |
| Find all providers in zip 84341 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790272607 | Crystal Watkins | Nurse Practitioner | 258 Hanging Rock Hwy, Logan, WV 25601-5113 | 2018-04-16 |
| 1932515418 | Melissa O'harra-brown | Nurse Practitioner | 541 Sr 664 N, Suite C, Logan, OH 43138 | 2014-07-07 |
| 1447305834 | Elizabeth Ann Booton | Nurse Practitioner | 550 E 1400 N Ste I, Logan, UT 84341-2450 | 2007-01-24 |
| 1306952932 | La Juana Dell Willis | Nurse Practitioner | 600 Gallegos, Logan, NM 88426-7602 | 2006-08-23 |
| 1851301246 | Chad B Speth | Nurse Practitioner | 235 E 400 N, Logan, UT 84321-4120 | 2006-08-08 |
| 1902870405 | Leslie Ann Burgie | Nurse Practitioner | 1220 W Hunter St, Logan, OH 43138-1012 | 2006-02-14 |
| 1871089748 | John Wesley Hart | Nurse Practitioner | 601 State Route 664 N, Logan, OH 43138-8541 | 2018-07-03 |
| 1467947895 | Staci Diane Johnson Knight | Nurse Practitioner | 20 Hospital Dr, Logan, WV 25601-3452 | 2018-06-27 |
| 1477042943 | Tammi Endicott Blankenship | Nurse Practitioner | 20 Hospital Dr, Logan, WV 25601-3452 | 2018-05-09 |
| 1912436478 | Matthew R Harvey | Nurse Practitioner | 630 E 1400 N Ste 135, Logan, UT 84341-2549 | 2017-06-08 |
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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.