AMBER SULLY (NPI# 1740695741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740695741 |
| Entity Type | Individual |
| Full Name | AMBER SULLY |
| Credential | LPN |
| Practice Address |
2250 N 1700 W Layton UT 84041-1140 |
| Practice Telephone | 8017737060 |
| Practice Fax Number | 8013361774 |
| Mailing Telephone | 8017737060 |
| Mailing Fax Number | 8013361774 |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2014-06-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 9022621-3101 | UT | Nursing Service Providers |
| Street Address |
2250 N 1700 W |
| City | LAYTON |
| State | UT |
| Zip Code | 84041-1140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194731091 | Derek R Larson | Social Worker | 2250 N 1700 W, Layton, UT 84041-1140 | 2006-07-31 |
| 1831557214 | Christopher Demitri Jackson | Technician, Other | 2250 N 1700 W, Layton, UT 84041-1140 | 2016-02-01 |
| 1770941163 | Catherine Grigsby | Technician, Other | 2250 N 1700 W, Layton, UT 84041-1140 | 2016-02-01 |
| 1184092397 | June Chavez | Technician, Other | 2250 N 1700 W, Layton, UT 84041-1140 | 2015-09-03 |
| 1700253259 | Lindsey Rand | Technician, Other | 2250 N 1700 W, Layton, UT 84041-1140 | 2015-08-31 |
| 1871976753 | Catherine Montoya | Technician, Other | 2250 N 1700 W, Layton, UT 84041-1140 | 2015-07-09 |
| 1235519497 | Lyndsi Drysdale | Technician, Other | 2250 N 1700 W, Layton, UT 84041-1140 | 2015-06-03 |
| 1669850129 | Susanna Aguinaga | Technician, Other | 2250 N 1700 W, Layton, UT 84041-1140 | 2015-05-15 |
| 1053798207 | Ryann Weisner | Technician, Other | 2250 N 1700 W, Layton, UT 84041-1140 | 2015-04-27 |
| 1699168070 | Ladawn Lowder | Social Worker | 2250 N 1700 W, Layton, UT 84041-1140 | 2015-03-10 |
| 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 | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184042236 | Revive Health Center of Utah LLC | Licensed Practical Nurse | 3080 N Fairfield Rd, Suite 1, Layton, UT 84041-8694 | 2014-04-04 |
| 1396380028 | Ashtyn Sprehn | Licensed Practical Nurse | 934 S Main St, Layton, UT 84041-7135 | 2019-11-18 |
| 1619488251 | Heather Lockyer | Licensed Practical Nurse | 934 S Main St, Layton, UT 84041-7135 | 2017-10-23 |
| 1184144750 | Jesus Roman Galvez Hermosillo | Licensed Practical Nurse | 934 S Main St, Layton, UT 84041-7135 | 2017-06-23 |
| 1487174058 | Asusanna Garcia | Licensed Practical Nurse | 934 S Main St, Layton, UT 84041-7135 | 2017-06-23 |
| 1275076986 | Natalie Wagstaff | Licensed Practical Nurse | 934 S Main St, Layton, UT 84041-7135 | 2016-11-29 |
| 1417339862 | Tim Woolworth | Licensed Practical Nurse | 934 S Main St, Layton, UT 84041-7135 | 2015-06-22 |
| 1063806636 | Taely Lyn Slone | Licensed Practical Nurse | 934 S Main St, #6, Layton, UT 84041-7135 | 2015-03-22 |
| 1598020554 | Alexis Bailey | Licensed Practical Nurse | 2250 N 1700 W, Layton, UT 84041-1140 | 2012-07-05 |
| 1851671671 | Christopher Oliver | Licensed Practical Nurse | 2250 N 1700 W, Layton, UT 84041-1140 | 2011-08-24 |
| Find all providers in LAYTON | ||||
Please comment or provide details below to improve the information on AMBER SULLY.
| 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.