KAYDON ROBERT BRADSHAW (NPI# 1922588003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922588003 |
| Entity Type | Individual |
| Full Name | KAYDON ROBERT BRADSHAW |
| Practice Address |
6484 N 2300 W Cedar City UT 84721-7102 |
| Practice Telephone | 4358674876 |
| Mailing Telephone | 4358674876 |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2018-08-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
6484 N 2300 W |
| City | CEDAR CITY |
| State | UT |
| Zip Code | 84721-7102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124344460 | Ruth Ann Johnson Morrow | Counselor | 6484 N 2300 W, Cedar City, UT 84721-7102 | 2010-04-12 |
| 1588273007 | Ruben Togisala | Community Health Worker | 6484 N 2300 W, Cedar City, UT 84721-7102 | 2020-07-30 |
| 1265041784 | Joseph Devito II | Community Health Worker | 6484 N 2300 W, Cedar City, UT 84721-7102 | 2020-07-30 |
| 1730798174 | Jaden Dee Park | Community Health Worker | 6484 N 2300 W, Cedar City, UT 84721-7102 | 2020-07-30 |
| 1215546759 | Joseph Charles Lydon | Community Health Worker | 6484 N 2300 W, Cedar City, UT 84721-7102 | 2020-07-30 |
| 1194334615 | Jason Linnell | Community Health Worker | 6484 N 2300 W, Cedar City, UT 84721-7102 | 2020-07-30 |
| 1710483805 | Colton Spencer | Counselor | 6484 N 2300 W, Cedar City, UT 84721-7102 | 2018-04-05 |
| 1386145407 | Geoffrey Ryan Eldredge | Counselor | 6484 N 2300 W, Cedar City, UT 84721-7102 | 2018-02-23 |
| 1942717855 | Matt Mellor | Counselor | 6484 N 2300 W, Cedar City, UT 84721-7102 | 2018-01-02 |
| 1073027819 | Zackery Reed Hansen | Counselor | 6484 N 2300 W, Cedar City, UT 84721-7102 | 2017-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205496189 | Heather Kirchmeier | Registered Nurse | 260 E D.l. Sargent Drive, Cedar City, UT 84721 | 2019-06-13 |
| 1245794080 | Enoch Dental Care, LLC | Clinic/Center | 850 East Midvalley Rd, Enoch, UT 84721 | 2019-01-25 |
| 1619459054 | Eulalia Marie Hall | Nurse Practitioner | 1303 N. Main St, Cedar City, UT 84721 | 2018-09-01 |
| 1922559285 | Renewed Hope Ranch, LLC | Community/Behavioral Health | 425 East 6000 North, Enoch, UT 84721 | 2016-10-20 |
| 1215480629 | Kyle Thomas | Counselor | 1870 N. Main Ste 102, Cedar City, UT 84721 | 2016-08-02 |
| 1093199135 | Fresenius Medical Care Cedar City, LLC | Clinic/Center | 1320 North Main Street, Cedar City, UT 84721 | 2015-07-18 |
| 1851700736 | Jason Arch | Chiropractor | 476 E Midvalley Rd, Cedar City, UT 84721 | 2014-08-05 |
| 1902237183 | Virgil Eric Bonnett | Social Worker | 4921 North Bald Eagle Dr., Enoch, UT 84721 | 2013-12-12 |
| 1891065280 | Merry A. Kelly | Registered Nurse | 260 E Dl Sargent Drive, Cedar City, UT 84721 | 2012-01-03 |
| 1235444787 | Adolescent Life Choices | Residential Treatment Facility, Emotionally Disturbed Children | 467 N. 300 W., Cedar City, UT 84721 | 2010-08-09 |
| Find all providers in zip 84721 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215480629 | Kyle Thomas | Counselor | 1870 N. Main Ste 102, Cedar City, UT 84721 | 2016-08-02 |
| 1609229913 | Shastel Honeycutt | Counselor | 1870 N Main St Ste 102, Cedar City, UT 84721-7740 | 2016-07-21 |
| 1598380354 | Amanda Shepard | Counselor | 245 E 680 S, Cedar City, UT 84720-3593 | 2020-06-08 |
| 1801360052 | Linda Jayde Udall | Counselor | 54 N 200 E, Cedar City, UT 84720-2615 | 2019-01-21 |
| 1710483805 | Colton Spencer | Counselor | 6484 N 2300 W, Cedar City, UT 84721-7102 | 2018-04-05 |
| 1386145407 | Geoffrey Ryan Eldredge | Counselor | 6484 N 2300 W, Cedar City, UT 84721-7102 | 2018-02-23 |
| 1386152403 | Shauna Marie Bacon | Counselor | 245 E 680 S, Cedar City, UT 84720-3593 | 2018-01-11 |
| 1942717855 | Matt Mellor | Counselor | 6484 N 2300 W, Cedar City, UT 84721-7102 | 2018-01-02 |
| 1073027819 | Zackery Reed Hansen | Counselor | 6484 N 2300 W, Cedar City, UT 84721-7102 | 2017-11-30 |
| 1922541200 | Gavin Jolley | Counselor | 1870 N Main St Ste 102, Cedar City, UT 84721-7740 | 2016-11-18 |
| Find all providers in CEDAR CITY | ||||
| City | CEDAR CITY |
| Zip Code | 84721 |
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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.