RANDAL B. AUSTIN (NPI# 1780875435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780875435 |
Entity Type | Individual |
Full Name | RANDAL B. AUSTIN |
Credential | FNP |
Practice Address |
1561 W 7000 S Ste 200 West Jordan UT 84084-3556 |
Practice Telephone | 8015625300 |
Practice Fax Number | 8015621883 |
Mailing Telephone | 8015625300 |
Mailing Fax Number | 8015621883 |
Enumeration Date | 2007-08-07 |
Last Update Date | 2007-08-07 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5645799-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1561 W 7000 S STE 200 |
City | WEST JORDAN |
State | UT |
Zip Code | 84084-3556 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033767629 | London Bertoch | Counselor | 1561 W 7000 S Ste 200, West Jordan, UT 84084-3556 | 2019-08-28 |
1548768682 | Kateri N Richins | Counselor | 1561 W 7000 S Ste 200, West Jordan, UT 84084-3556 | 2018-01-23 |
1356744791 | Summit Clinical Services of Utah LLC | Nurse Practitioner | 1561 W 7000 S Ste 200, West Jordan, UT 84084-3556 | 2014-09-30 |
1962700211 | Sarah Anne Boykin | Social Worker | 1561 W 7000 S Ste 200, West Jordan, UT 84084-3556 | 2011-03-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396351383 | National Vision Inc | Optometrist | 3857 West Campus View Drive, Suite 110, West Jordan, UT 84084 | 2020-09-16 |
1386267938 | Parker Brown | Dentist | Jordan Valley Dental, 7452 S Campus Drive, West Jordan, UT 84084 | 2020-05-18 |
1952809873 | David D. Allred Counseling & Consulting, LLC | Marriage & Family Therapist | 1365 W Green Hedge Way, West Jordan, UT 84084 | 2018-01-25 |
1720514268 | Utah Podiatric Physicians and Surgeons Group LLC | Podiatrist | 7000 S 1561 W, #100, West Jordan, UT 84084 | 2017-05-03 |
1245787829 | Josh Sullivan | Social Worker | 7395 S Paddington Rd, West Jordan, UT 84084 | 2016-09-01 |
1457752503 | Eaze Bracing | Prosthetic/Orthotic Supplier | 1324 W 7125 S, West Jordan, UT 84084 | 2014-09-09 |
1437595030 | Medico Transport System | Ambulance | 7365 S 4570 W, South Jordan, UT 84084 | 2013-05-22 |
1659612737 | Lifecare Specialty | Pharmacy | 1646 Sunrise Place Ste B, West Jordan, UT 84084 | 2013-03-14 |
1518217942 | Luciane Lopes De Oliveira | Student in an Organized Health Care Education/Training Program | 7601 Redwood Road, West Jordan, UT 84084 | 2012-09-13 |
1023368636 | Chelsey Tautkus | Social Worker | 7601 South Redwood Road, Building E, West Jordan, UT 84084 | 2012-09-12 |
Find all providers in zip 84084 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295256543 | Jenny Louise Mckay | Nurse Practitioner | 7478 S Campus View Dr Ste 100, West Jordan, UT 84084-1968 | 2017-06-27 |
1821448226 | Lora Lynn Galloway | Nurse Practitioner | 7818 S Redwood Rd, West Jordan, UT 84088-4002 | 2016-06-16 |
1215376587 | Carlos A Vasquez | Nurse Practitioner | 6248 S Clernates Dr, West Jordan, UT 84081-3831 | 2013-06-20 |
1548557622 | Haley B Nelson | Nurse Practitioner | 7353 S 2172 W, West Jordan, UT 84084-3248 | 2011-07-08 |
1578883963 | Gerald Wayne Dearing | Nurse Practitioner | 2822 W 8750 S, West Jordan, UT 84088-9605 | 2010-06-08 |
1588823132 | Roberta Francis Anderson | Nurse Practitioner | 3065 W 8600 S, West Jordan, UT 84088-9626 | 2008-06-08 |
1760697106 | Linda Renne Hensley | Nurse Practitioner | 1488 W Brigeport Way, West Jordan, UT 84084 | 2007-05-11 |
1568685550 | Martha Fern Southwick | Nurse Practitioner | 8541 S Redwood Rd Ste C2, West Jordan, UT 84088 | 2007-04-10 |
1316017627 | Jololene Allan | Nurse Practitioner | 8785 S Jordan Valley Way # 100, West Jordan, UT 84088-9772 | 2006-11-08 |
1619900339 | Donald R Hastie | Nurse Practitioner | 7611 Jordan Landing Blvd, 200, West Jordan, UT 84084-5610 | 2006-07-08 |
Find all providers in WEST JORDAN |
City | WEST JORDAN |
Zip Code | 84084 |
Please comment or provide details below to improve the information on RANDAL B. AUSTIN.
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.