BREANNA NICOLE LUNDQUIST (NPI# 1427660042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427660042 |
| Entity Type | Individual |
| Full Name | BREANNA NICOLE LUNDQUIST |
| Practice Address |
15254 S Cavalry Ct Bluffdale UT 84065-4992 |
| Practice Telephone | 8014559606 |
| Mailing Telephone | 8014559606 |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-08-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
9813075-3102 | UT | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | RN LICENSE | 9813075-3102 | 01 |
| Street Address |
15254 S CAVALRY CT |
| City | BLUFFDALE |
| State | UT |
| Zip Code | 84065-4992 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972248 | William Lance Andersen | Pharmacist | 1202 W 12600 W, Riverton, UT 84065 | 2020-11-02 |
| 1275172678 | Dentists of Riverton, LLP | Dentist | 4531 W. Partridgehill Lane, Suite F-110, Riverton, UT 84065 | 2020-01-02 |
| 1194201467 | Patrick Kunkel | Dentist | 12569 2700 W, #100, Riverton, UT 84065 | 2018-07-19 |
| 1790274546 | Harmon City Inc | Pharmacy | 13330 South Kestrel Range Road, Riverton, UT 84065 | 2018-05-08 |
| 1386147767 | Richard Hayes Johnston | Counselor | 3740 S Market Center Dr #1200, Riverton, UT 84065 | 2018-03-13 |
| 1023537156 | Brenda Fuell | Dental Hygienist | 12959 South Picket Fence Lane, Riverton, UT 84065 | 2017-09-09 |
| 1407373426 | Bethany Marie Breck | Counselor | 3740 S Market Center Drive, #1200, Riverton, UT 84065 | 2017-08-30 |
| 1952848509 | Renaissance Ranch Bluffdale Women's Program | Substance Abuse Rehabilitation Facility | 2356 Thunderhead Way, Bluffdale, UT 84065 | 2017-01-20 |
| 1053856229 | Bradford Scott Bentley Jr. | Physical Therapist | 3741 W 12600 S, Ste 100, Riverton, UT 84065 | 2016-12-27 |
| 1194273524 | New Horizon | Preferred Provider Organization | 1420 W 12600 Sputh, Draper, UT 84065 | 2016-09-14 |
| Find all providers in zip 84065 | ||||
| Taxonomy Code | 163WP0807X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306201256 | Denise Futrell | Registered Nurse | 290 E 500 S, American Fork, UT 84003-2427 | 2015-12-19 |
| 1770948622 | Jason O Zumwalt | Registered Nurse | 3497 W Pawnee St, West Valley, UT 84119-5028 | 2015-12-19 |
| 1376908343 | Michelle Larsen | Registered Nurse | 705 E 200 S, Pleasant Grove, UT 84062-2923 | 2015-12-17 |
| 1851609671 | Diane Everett | Registered Nurse | 11491 Cranberry Hill Ct, Draper, UT 84020-8592 | 2010-09-14 |
| 1003973785 | Katherine Denise Koller | Registered Nurse | 315 S 100 E, Provo, UT 84606-4649 | 2007-01-02 |
| 1780772608 | Patricia Drewry Sanger | Registered Nurse | 1600 Pinebrook Blvd, H 9, Park City, UT 84098-8276 | 2006-10-10 |
| 1073609533 | John W Harris Jr. | Registered Nurse | 497 S Colorow Way, Salt Lake City, UT 84108 | 2006-10-04 |
| 1124096417 | Raeanna Kirk | Registered Nurse | 11706 S 700 E, Draper, UT 84020-9365 | 2006-03-10 |
| 1659914356 | Tack D Macgregor | Registered Nurse | 4501 N University Ave, Provo, UT 84604-5504 | 2019-10-25 |
| 1457994162 | Timothy W Bartell | Registered Nurse | 4501 N University Ave, Provo, UT 84604-5504 | 2019-10-25 |
| 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.