MRS. BRENDA LYNN MUSSELLS (NPI# 1407095110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407095110 |
Entity Type | Individual |
Full Name | MRS. BRENDA LYNN MUSSELLS |
Credential | RD |
Practice Address |
85 Medical Dr # 201 Salt Lake City UT 84112-1100 |
Practice Telephone | 8015813983 |
Mailing Telephone | 8015813983 |
Enumeration Date | 2009-02-19 |
Last Update Date | 2009-02-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
Dietary & Nutritional Service Providers |
Street Address |
85 MEDICAL DR # 201 |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84112-1100 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083867931 | Suzanne O Ware | Dietitian, Registered | 85 Medical Dr # 201, Salt Lake City, UT 84112-1100 | 2008-10-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508484023 | Courtney Hook | Student in an Organized Health Care Education/Training Program | 1860 E 250 S Hper East, Room 208, Salt Lake City, UT 84112 | 2020-07-10 |
1235792839 | Dylan Lamb | Rehabilitation Practitioner | 1850 S. 260 E, Salt Lake City, UT 84112 | 2019-04-18 |
1740787407 | David Bradley Patch | Student in an Organized Health Care Education/Training Program | University of Utah Hospital Dental Clinic #7, 50 N. Medical Dr., Salt Lake City, UT 84112 | 2018-04-10 |
1962949586 | Gina Whitehead | Nurse Practitioner | 10 South 2000 East, Salt Lake City, UT 84112 | 2017-01-20 |
1316493117 | Dana Friske | Specialist/Technologist | 290 S 1850 E, Room 103, Salt Lake City, UT 84112 | 2016-08-31 |
1548612435 | Frances Millett Johnson | Nurse Practitioner | 555 South Foothill Blvd, Suite 301, Salt Lake City, UT 84112 | 2016-07-05 |
1679920904 | Jason Lippman | Family Medicine | 555 S. Foothill Blvd., Ste. 301, Salt Lake City, UT 84112 | 2016-05-17 |
1447604335 | Joseph Mcbeth | Specialist/Technologist | 580 S. Guardsman Way, Salt Lake City, UT 84112 | 2016-04-18 |
1104213636 | Cameron Critchfield | Student in an Organized Health Care Education/Training Program | 26 South 2000 East, Suite 5900, Salt Lake City, UT 84112 | 2015-04-22 |
1942697933 | Jennifer Rose | Dentist | 50 N Medical Dr, University Hospital, Salt Lake City, UT 84112 | 2015-04-17 |
Find all providers in zip 84112 |
Taxonomy Code | 133VN1005X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
Specialization | Nutrition, Renal |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083867931 | Suzanne O Ware | Dietitian, Registered | 85 Medical Dr # 201, Salt Lake City, UT 84112-1100 | 2008-10-23 |
1962680520 | Marcia Whitaker | Dietitian, Registered | 880 E 3900 S, Salt Lake City, UT 84107-2151 | 2008-02-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649572884 | Sonia B Neale | Dietitian, Registered | 1672 N 1770 E, Logan, UT 84341-2178 | 2010-11-19 |
1003245374 | Edith Delapp | Dietitian, Registered | 5575 S 500 E, Ogden, UT 84405-6907 | 2013-11-06 |
1356668438 | Barbara Sorenson Day | Dietitian, Registered | 8750 Sandy Pkwy, Sandy, UT 84070-6437 | 2010-04-28 |
1043532146 | Melinda Speener | Dietitian, Registered | 720 S River Rd, Suite D-1100, Saint George, UT 84790-5507 | 2010-02-17 |
1215197488 | Mark A Mayr | Dietitian, Registered | 720 S River Rd Ste D1100, St George, UT 84790-5522 | 2008-06-11 |
1114106275 | Jill L Neilson | Dietitian, Registered | 5575 S 500 E, Ogden, UT 84405-6907 | 2007-10-25 |
1710198528 | Andrea Clark | Dietitian, Registered | 720 S River Rd Ste D1100, St George, UT 84790-5522 | 2007-05-24 |
City | SALT LAKE CITY |
Zip Code | 84112 |
Please comment or provide details below to improve the information on MRS. BRENDA LYNN MUSSELLS.
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.