TOTAL THETA WELLNESS (NPI# 1699105338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699105338 |
Entity Type | Organization |
Organization Name | TOTAL THETA WELLNESS |
Practice Address |
8789 S Highland Dr Suite 200 Sandy UT 84093-1600 |
Practice Telephone | 8019433373 |
Practice Fax Number | 8019430599 |
Mailing Telephone | 8019433373 |
Mailing Fax Number | 8019430599 |
Enumeration Date | 2013-11-15 |
Last Update Date | 2014-02-19 |
Authorized Official Name | MARTHA SOUTHWICK (OWNER) |
Authorized Official Telephone | 8019433373 |
Authorized Official Credential | FNP-BC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
200020-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
8789 S HIGHLAND DR SUITE 200 |
City | SANDY |
State | UT |
Zip Code | 84093-1600 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649450628 | Stella Yi Chou | Ophthalmology | 8789 S Highland Dr, Ste 100, Sandy, UT 84093-1600 | 2007-11-07 |
1588975940 | Deborah Marie Wayman | Counselor | 8789 S Highland Dr, #200, Sandy, UT 84093-1600 | 2010-06-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942830674 | Maren Vanwagoner Ferre | Nurse Practitioner | 1455 E Quail Stream Ln, Cottonwood Heights, UT 84093 | 2020-01-22 |
1154820041 | Cassandra Bringhurst | Music Therapist | 8261 S Viscounti Dr., Sandy, UT 84093 | 2018-02-06 |
1518480540 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 8645 S Highland Dr, Sandy, UT 84093 | 2017-07-21 |
1457881955 | Valor Psychological Services, LLC | Psychologist | 8160 S Highland Dr Ste C104, Sandy, UT 84093 | 2017-06-16 |
1700279197 | Russell G. Lewis | Dentist | 1434 E. 9400 S. Ste 201, Sandy, UT 84093 | 2015-03-10 |
1568771350 | Susan Lynn Nikola | Pharmacist | 8745 S. Highland Dr, Sandy, UT 84093 | 2010-09-28 |
1659696227 | Pamela Elizabeth Boyleston | Nurse Anesthetist, Certified Registered | 2628 Partridge Way, Sandy, UT 84093 | 2010-04-07 |
1700025582 | Kirk Madson Neuberger | Surgery | 9181 Wedgefield Dr., Sandy, UT 84093 | 2009-02-18 |
1326230392 | Sunrie Sandy Senior Living LLC | Assisted Living Facility | 2101 E 9400 S, Sandy, TN 84093 | 2007-08-14 |
1497870588 | Chandra Lee Roberson | Counselor | 8188 So. Highland Drive, Suite D-4, Sandy, UT 84093 | 2007-03-20 |
Find all providers in zip 84093 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174162192 | Spencer Barton | Nurse Practitioner | 524 E 10735 S, Sandy, UT 84070-6020 | 2019-12-23 |
1053954727 | Insight Family Practice LLC | Nurse Practitioner | 8686 S 1300 E Ste L102l104, Sandy, UT 84094-1947 | 2019-10-24 |
1043861214 | Benjamin Zachariah Rollins | Nurse Practitioner | 476 E Mingo Park Dr, Sandy, UT 84070-2409 | 2019-09-27 |
1992356240 | Melissa Radcliffe | Nurse Practitioner | 10985 S State St, Sandy, UT 84070-4102 | 2019-09-26 |
1922659929 | Laura Nicole Holden | Nurse Practitioner | 8836 S Greenwich Ln, Sandy, UT 84093-1675 | 2019-09-23 |
1205486420 | Zhan Wang | Nurse Practitioner | 9948 S Glacier Ridge Dr, Sandy, UT 84092-4288 | 2019-09-19 |
1043860737 | Deana Marie Busch | Nurse Practitioner | 8899 S 700 E Ste 250, Sandy, UT 84070-1813 | 2019-09-16 |
1982252318 | Shawna Nicole Heaps | Nurse Practitioner | 770 E Rose Cottage Way, Sandy, UT 84094-1259 | 2019-08-28 |
1235786146 | Shelby Elaine Miller | Nurse Practitioner | 11340 S State St, Sandy, UT 84070-5145 | 2019-08-25 |
1992273551 | Don Howard Sorensen Jr. | Nurse Practitioner | 9970 S Eastdell Dr, Sandy, UT 84092-4140 | 2018-11-12 |
Find all providers in SANDY |
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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.