STACEY BUSHELL (NPI# 1740305150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740305150 |
| Entity Type | Individual |
| Full Name | STACEY BUSHELL |
| Credential | APRN |
| Practice Address |
1580 W Antelope Dr Suite 100 Layton UT 84041-1160 |
| Practice Telephone | 8017738644 |
| Practice Fax Number | 8019271591 |
| Mailing Telephone | 8017738644 |
| Mailing Fax Number | 8019271591 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
195616-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1580 W ANTELOPE DR SUITE 100 |
| City | LAYTON |
| State | UT |
| Zip Code | 84041-1160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336130889 | Jesse A Jorgensen | Physician Assistant | 1580 W Antelope Dr, Suite 100, Layton, UT 84041-1160 | 2005-11-03 |
| 1760886634 | Melanie Valmonte Lozano | Physician Assistant | 1580 W Antelope Dr, Suite 200, Layton, UT 84041-1160 | 2014-10-21 |
| 1700047099 | Leah N Torres | Obstetrics & Gynecology | 1580 W Antelope Dr, 290, Layton, UT 84041-1160 | 2008-06-19 |
| 1508046772 | Patricia Marie James | Nurse Practitioner | 1580 W Antelope Dr, Suite 290, Layton, UT 84041-1160 | 2007-11-05 |
| 1710180591 | Stacie B Carter | Advanced Practice Midwife | 1580 W Antelope Dr, Suite 290, Layton, UT 84041-1160 | 2007-06-07 |
| 1790998359 | Wasatch Peak Family Practice Inc | General Practice | 1580 W Antelope Dr, Suite 200, Layton, UT 84041-1160 | 2007-05-08 |
| 1811013279 | Aaron Vincent Barson Jr. | Family Medicine | 1580 W Antelope Dr, Suite 250, Layton, UT 84041-1160 | 2007-03-21 |
| 1871649467 | Joseph W Jensen, Do, PC | Surgery | 1580 W Antelope Dr, Suite 130, Layton, UT 84041-1160 | 2007-01-26 |
| 1700932639 | Peter V Wilson, Md, Pllc | Surgery | 1580 W Antelope Dr, Suite 130, Layton, UT 84041-1160 | 2007-01-25 |
| 1932272598 | David E Butters | Family Medicine | 1580 W Antelope Dr, 200, Layton, UT 84041-1160 | 2006-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499183 | Grab Healthcare, LLC | Clinic/Center | 245 E 2150 N, Suite C, Layton, UT 84041 | 2020-08-26 |
| 1154961399 | Victoria Leeann Taylor | Massage Therapist | 716 Antelope Dr, Layton, UT 84041 | 2020-01-15 |
| 1184181505 | Brian Taylor Woodbury | Occupational Therapist | 471 Heritage Park Blvd. Ste #5, Layton, UT 84041 | 2019-02-21 |
| 1740756816 | Jacob C Juarez | Physician Assistant | 2084 N. 1700 W., Suite A, Layton, UT 84041 | 2018-10-16 |
| 1134637945 | Jodi Lynn Siri | Counselor | 365 W 1550 N Ste F, Layton, UT 84041 | 2018-01-15 |
| 1083128029 | Utah Cvs Pharmacy LLC | Pharmacy | 50 South Fort Lane, Layton, UT 84041 | 2017-11-29 |
| 1376057315 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2000 W & W 1700 S Nec, Layton, UT 84041 | 2017-11-29 |
| 1912411992 | Live Strong House LLC | Counselor | 377 N. Marshall Way, Suite 1b, Layton, UT 84041 | 2017-11-28 |
| 1003326505 | Kenneth L Ernstrom | Pharmacist | 2065 N Robins Drive, Layton, UT 84041 | 2017-10-10 |
| 1356868319 | Utah Home Health and Hospice LLC | Family Medicine | 920 W Heritage Park Blvd Suite 120, Layton, UT 84041 | 2017-08-29 |
| Find all providers in zip 84041 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326475476 | Kurtis Russell Smith | Nurse Practitioner | 2086 N 1700 W, Suite C, Layton, UT 84041-1164 | 2013-10-03 |
| 1144539719 | Kelly J Burton | Nurse Practitioner | 2086 N 1700 W, Suite C, Layton, UT 84041-1164 | 2010-09-30 |
| 1144200171 | Karen West-ellis | Nurse Practitioner | 2084 N 1700 W, Suite A, Layton, UT 84041 | 2006-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841707569 | Deeann Cervantez | Nurse Practitioner | 100 N Mario Capecchi Dr Ste 3550, Salt Lake City, UT 84113-1103 | 2018-01-03 |
| 1962949586 | Gina Whitehead | Nurse Practitioner | 10 South 2000 East, Salt Lake City, UT 84112 | 2017-01-20 |
| 1417402389 | Heather Crockett Oram | Nurse Practitioner | 41 E 1140 N, Suite B, Saratoga Springs, UT 84045-5459 | 2016-08-22 |
| 1720452782 | Jane Garff Gardiner | Nurse Practitioner | 347 N Quince St, Salt Lake City, UT 84103-1641 | 2015-11-13 |
| 1992171185 | Angela Curtis Page | Nurse Practitioner | 484 E 1250 S, Kaysville, UT 84037-4005 | 2015-08-11 |
| 1982025961 | Teresa Steele | Nurse Practitioner | 5063 S Cottonwood St Ste, 160, Murray, UT 84107 | 2013-12-18 |
| 1447505904 | Natalie Tollison | Nurse Practitioner | 1055 N 300 W Ste 300, Provo, UT 84604-3373 | 2012-07-19 |
| 1578820858 | Helen Kathleen Aoki | Nurse Practitioner | 9071 S 1300 W Fl 3, West Jordan, UT 84088-6672 | 2012-04-11 |
| 1356676035 | Cherie Marie Farnes | Nurse Practitioner | 1355 N University Ave Ste 210, Provo, UT 84604-2721 | 2009-10-13 |
| 1558505529 | Melissa Ann Neville-norton | Nurse Practitioner | 3875 Stadium Way # 3903 Weber State University, Ogden, UT 84408 | 2009-04-22 |
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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.