MR. LEE W BRADSHAW (NPI# 1588660773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588660773 |
| Entity Type | Individual |
| Full Name | MR. LEE W BRADSHAW |
| Credential | APRN |
| Practice Address |
5030 Harrison Blvd Ogden UT 84403-4311 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 8013875600 |
| Practice Fax Number | 8014754720 |
| Mailing Telephone | 8013875600 |
| Mailing Fax Number | 8014754720 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2012-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
6242996-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528072279 | Lee M Bradshaw | Counselor | 530 N Main St, Providence, RI 02904-5762 | 2006-07-28 |
| Street Address |
5030 HARRISON BLVD |
| City | OGDEN |
| State | UT |
| Zip Code | 84403-4311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437400447 | Jonathan Ahern | Psychologist | 5030 Harrison Blvd, Ogden, UT 84403-4311 | 2012-10-01 |
| 1497039523 | Tyson John Miller | Social Worker | 5030 Harrison Blvd, Ogden, UT 84403-4311 | 2011-10-07 |
| 1598052375 | Sarah Hoffman | Nurse Practitioner | 5030 Harrison Blvd, Ogden, UT 84403-4311 | 2011-06-30 |
| 1760788160 | Bart Steven Sanders | Nurse Practitioner | 5030 Harrison Blvd, Ogden, UT 84403-4311 | 2011-02-01 |
| 1346568318 | Julie Goudie-nice | Psychologist | 5030 Harrison Blvd, Ogden, UT 84403-4311 | 2010-05-14 |
| 1497990550 | Gary V Broadbent | Social Worker | 5030 Harrison Blvd, Ogden, UT 84403-4311 | 2008-12-03 |
| 1831346170 | Bryan B Bushman | Psychologist | 5030 Harrison Blvd, Ogden, UT 84403-4311 | 2008-08-19 |
| 1720264369 | Marie Woodfield | Nurse Practitioner | 5030 Harrison Blvd, Ogden, UT 84403-4311 | 2008-01-14 |
| 1376731083 | Craig French | Social Worker | 5030 Harrison Blvd, Ogden, UT 84403-4311 | 2007-10-09 |
| 1154512937 | Ben W. Holt | Psychiatry & Neurology | 5030 Harrison Blvd, Behavioral Health Institute, Ogden, UT 84403-4311 | 2007-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235744632 | Megan Louise Larkins | Specialist/Technologist | 4000 Brinker Ave. The Apartments., Apartment 15, Ogden, UT 84403 | 2020-09-11 |
| 1154959062 | Joshua Clifford Hansen | Student in an Organized Health Care Education/Training Program | 4403 Harrison Boulevard, Ste A700, Ogden, UT 84403 | 2020-03-28 |
| 1346895935 | Positional Release Therapy Institute LLC | Specialist/Technologist | 1702 E. 5600 S., Ogden, UT 84403 | 2019-08-09 |
| 1841842077 | Braken Wooden | Chiropractor | 1893 Skyline Dr., Suite 204, South Ogden, UT 84403 | 2019-07-09 |
| 1023670569 | Wasatch Advanced Dental Care LLC | Dentist | 3590 Harrison Blvd Suite #1, Ogden, UT 84403 | 2019-07-05 |
| 1194237636 | Marci Niemeyer | Physician Assistant | 5929 Fashion Point Dr Ste 101, South Ogden, UT 84403 | 2017-10-24 |
| 1578081949 | Stephanie Jensen | Specialist/Technologist | 1473 36th Street, Ogden, UT 84403 | 2017-09-06 |
| 1891213385 | Forrest Sutherland | Specialist/Technologist | 1075 E 41st St., Ogden, UT 84403 | 2017-09-05 |
| 1184159022 | Nicole Lee Van Tassell | In Home Supportive Care | 1496 East 5600 South, Unit 6, Ogden, UT 84403 | 2017-04-28 |
| 1265889166 | Modern Dental Professionals Ut, PC | Dentist | 5974 S. Fashion Pointe Drive, Suite 210, South Ogden, UT 84403 | 2016-05-20 |
| Find all providers in zip 84403 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104080712 | Grace Belliston | Clinical Nurse Specialist | 982 Chambers St, Ogden, UT 84403-4571 | 2008-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881038933 | Sheila Arlene Deyette | Clinical Nurse Specialist | Russell Murdock, 50 North Medical Dr, Salt Lake City, UT 84132-0001 | 2013-04-19 |
| 1942488002 | Jodi Lynne Morstein | Clinical Nurse Specialist | 127 S 500 E Ste 600, Salt Lake City, UT 84102-1971 | 2008-01-31 |
| 1790868727 | Linda J Mabey | Clinical Nurse Specialist | 117 West 200 So, Daybreak Behavioral Medicine, Farmington, UT 84025-1036 | 2006-10-23 |
| 1285696187 | Cheryl M Jensen | Clinical Nurse Specialist | 2040 E. Murray Holladay Rd, Suite 222, Salt Lake City, UT 84117-5185 | 2006-04-05 |
| 1265051262 | Alrae Snyder | Clinical Nurse Specialist | 1300 E Center St, Provo, UT 84606-3554 | 2020-04-10 |
| 1578125878 | Bridget Linett Shears | Clinical Nurse Specialist | 4460 S Highland Dr, Salt Lake City, UT 84124-3543 | 2019-07-08 |
| 1366979197 | Megan Ames | Clinical Nurse Specialist | 4460 S Highland Dr, Salt Lake City, UT 84124-3543 | 2017-05-11 |
| 1083732051 | Adolescent, Child and Family Therapy Clinic, Inc | Clinical Nurse Specialist | 370 E South Temple, Ste 550, Salt Lake City, UT 84111-1206 | 2007-03-27 |
| 1134202161 | Martha Carol Mattsson | Clinical Nurse Specialist | 117 West 200 South, Daybreak Behavioral Medicine, Farmington, UT 84025-1036 | 2006-10-23 |
| 1619927795 | Rose B Olds | Clinical Nurse Specialist | 370 E South Temple, Ste 550, Salt Lake City, UT 84111-1206 | 2006-05-11 |
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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.