CODY LEE BACH (NPI# 1598319642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598319642 |
| Entity Type | Individual |
| Full Name | CODY LEE BACH |
| Credential | FNP-BC |
| Practice Address |
3702 S State St Ste 107 Salt Lake City UT 84115-5096 |
| Practice Telephone | 8012882634 |
| Practice Fax Number | 8012881186 |
| Mailing Telephone | 8012882634 |
| Mailing Fax Number | 8012881186 |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2019-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 11398024-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | APN.0994785-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3702 S STATE ST STE 107 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84115-5096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801824438 | Sey M Lau | Internal Medicine | 3702 S State St Ste 107, Salt Lake City, UT 84115-5096 | 2006-06-30 |
| 1639799737 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 3702 S State St Ste 107, Salt Lake City, UT 84115-5096 | 2020-04-20 |
| 1952936668 | Mary-virginia Hye-jin Parker | Nurse Practitioner | 3702 S State St Ste 107, Salt Lake City, UT 84115-5096 | 2020-03-03 |
| 1871127050 | Yu Cheng | Nurse Practitioner | 3702 S State St Ste 107, Salt Lake City, UT 84115-5096 | 2020-02-26 |
| 1902443328 | Laboratory Corporation of America | Clinical Medical Laboratory | 3702 S State St Ste 107, Salt Lake City, UT 84115-5096 | 2019-12-04 |
| 1639692510 | Trenton D Gray | Nurse Practitioner | 3702 S State St Ste 107, Salt Lake City, UT 84115-5096 | 2017-07-21 |
| 1720438633 | April Conlon | Nurse Practitioner | 3702 S State St Ste 107, Salt Lake City, UT 84115-5096 | 2016-06-21 |
| 1750473948 | Nephrology Associates of Utah LLC | Internal Medicine | 3702 S State St Ste 107, Salt Lake City, UT 84115-5096 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344198 | Shannon Ballinger | Clinic/Center | 1470 400 W, Salt Lake City, UT 84115 | 2020-10-22 |
| 1992346704 | Anicka Inc | Clinic/Center | 3195 South Main St, Ste 260, South Salt Lake, UT 84115 | 2019-10-02 |
| 1083177505 | Vitor Gabriel Giuliani Alcantara Carioca | Specialist/Technologist | 1850 South Campus Drive, Salt Lake City, UT 84115 | 2019-04-11 |
| 1427528371 | Samuel James Leonhart | Behavior Technician | 354 East Coatsville Drive, Salt Lake City, UT 84115 | 2018-12-04 |
| 1093228645 | Eco Pharmacy LLC | Pharmacy | 3702 S State Street Suite 115, South Salt Lake City, UT 84115 | 2017-11-06 |
| 1568973055 | Eco Apothecary LLC | Pharmacy | 3701 S State Street Suite 114, South Salt Lake City, UT 84115 | 2017-10-24 |
| 1548780455 | Kelly Lund | Case Manager/Care Coordinator | 447 W. Bearcat Dr., Salt Lake City, UT 84115 | 2017-06-21 |
| 1104271238 | The Church of Philadelphia Inc. | Community/Behavioral Health | 2358 South Main Street, Salt Lake City, UT 84115 | 2016-04-26 |
| 1710368626 | Jennifer Swanhild Edwards | Counselor | 140 W 2100 S Ste 244, Salt Lake City, UT 84115 | 2015-06-16 |
| 1508247065 | John Mcguire | Health Educator | 1370 S. West Temple, Salt Lake City, UT 84115 | 2015-06-10 |
| Find all providers in zip 84115 | ||||
| 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 |
|---|---|---|---|---|
| 1467085019 | Hillary Price | Nurse Practitioner | 30 N Medical Drive, Salt Lake City, UT 84132-0001 | 2020-02-21 |
| 1467093328 | Tessa Rachel Curtis | Nurse Practitioner | 1160 E 3900 S Ste 3100, Salt Lake City, UT 84124-1202 | 2019-10-02 |
| 1033773544 | Marathon Health, LLC | Nurse Practitioner | 1930 S State St, Salt Lake City, UT 84115-2311 | 2019-04-30 |
| 1912488347 | Wendy Jane Frey | Nurse Practitioner | 3490 E Hermes Dr, Salt Lake City, UT 84124-3211 | 2018-08-23 |
| 1851813299 | Wayne Berg | Nurse Practitioner | 1060 E 100 S Ste 110, Salt Lake City, UT 84102-1591 | 2017-07-07 |
| 1982051785 | Patricia M Starks | Nurse Practitioner | 2678 S Glenmare St, Salt Lake City, UT 84106-3606 | 2016-05-21 |
| 1215392287 | Chad Dorman Dansie | Nurse Practitioner | 200 N Mario Capecchi Dr, Salt Lake City, UT 84132-0001 | 2015-12-17 |
| 1346642121 | Randi Moore Hollis | Nurse Practitioner | 1220 E 3900 S Ste 1f, Salt Lake City, UT 84124-1327 | 2014-09-23 |
| 1699049866 | Keri Page | Nurse Practitioner | 100 Mario Capecchi Dr Ste 2600, Salt Lake City, UT 84113-1103 | 2012-03-05 |
| 1710267877 | Trudy L. Hardin-reynolds | Nurse Practitioner | 825 Northcrest Dr, Salt Lake City, UT 84103-3320 | 2011-08-22 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84115 |
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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.