JAMIE LEIGH BUSTAMANTE (NPI# 1982097127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982097127 |
| Entity Type | Individual |
| Full Name | JAMIE LEIGH BUSTAMANTE |
| Credential | PHD |
| Practice Address |
409 W 400 S Salt Lake City UT 84101-1135 |
| Mailing Address |
1187 E Charlton Ave Salt Lake City UT 84106-2603 |
| Practice Telephone | 8013640058 |
| Mailing Telephone | 0186180852 |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2020-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 4602 | AZ | Behavioral Health & Social Service Providers |
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
102501922501 | UT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 20504 | 05 | |
| UT | 1982097127 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4055 S 700 E Ste 102, Salt Lake City, UT 841072509 | 0186180852 |
| Street Address |
409 W 400 S |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84101-1135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528128899 | Wasatch Homeless Health Care, Inc. | Clinic/Center | 409 W 400 S, Salt Lake City, UT 84101-1135 | 2006-12-09 |
| 1992261077 | Samantha Lee Stacks | Nurse Practitioner | 409 W 400 S, Salt Lake City, UT 84101-1135 | 2019-02-14 |
| 1659850287 | Michael Dressman | Case Manager/Care Coordinator | 409 W 400 S, Salt Lake City, UT 84101 | 2018-08-14 |
| 1285164236 | Ryan Cochrane | Registered Nurse | 409 W 400 S, Salt Lake City, UT 84101-1135 | 2017-06-13 |
| 1992165054 | Patricia Smith | Registered Nurse | 409 W 400 S, Salt Lake City, UT 84101-1135 | 2016-03-02 |
| 1225497910 | Emily Horton | Social Worker | 409 W 400 S, Salt Lake City, UT 84101-1135 | 2016-02-23 |
| 1225496391 | Christopher Lee Smith | Nurse Practitioner | 409 W 400 S, Salt Lake City, UT 84101-1135 | 2016-02-04 |
| 1902202807 | Jamie Kuttler | Physician Assistant | 409 W 400 S, Salt Lake City, UT 84101-1135 | 2014-11-05 |
| 1326482803 | Joel Wecker | Family Medicine | 409 W 400 S, Salt Lake City, UT 84101-1135 | 2013-04-26 |
| 1598023871 | Christopher Belknap | Family Medicine | 409 W 400 S, Salt Lake City, UT 84101-1135 | 2012-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053804237 | Holly Smith | Registered Nurse | 1020 S Main Street, Salt Lake City, UT 84101 | 2018-06-12 |
| 1174999627 | Justin Williams | Social Worker | 155 W. 300 S., Salt Lake City, UT 84101 | 2015-08-19 |
| 1902291842 | Daryl Ray Ezidore | Student in an Organized Health Care Education/Training Program | 100 South 344 East, Salt Lake City, UT 84101 | 2015-03-30 |
| 1104190859 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 50 S Main St Ste 115, Salt Lake City, UT 84101 | 2012-02-28 |
| 1366713307 | Gonstead Family Chiropractic | Chiropractor | 1154 S. 300 W., Suite C, Salt Lake City, UT 84101 | 2012-01-23 |
| 1659544880 | Jeffrey Daniel | Registered Nurse | 404 South 400 West, Salt Lake City, UT 84101 | 2008-04-09 |
| 1306030580 | Christopher Dean Chapman | Chiropractor | 345 W 100 S Ste 6c, Salt Lake City, UT 84101 | 2007-08-30 |
| 1689713497 | Walter Landon Bye | Dentist | 15 West South Temple, Gateway Tower West Suite 440, Salt Lake City, UT 84101 | 2007-02-06 |
| 1154403152 | Allison Miller Gardner | Physical Therapist | 84 West 700 South, Salt Lake City, UT 84101 | 2006-10-19 |
| 1780655407 | Frederick Van Der Veur | Social Worker | 1020 South Main Street, 242, Salt Lake City, UT 84101 | 2006-01-30 |
| Find all providers in zip 84101 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780043604 | Brigg Noyes, Phd | Psychologist | 160 S 1000 E Ste 310, Suite 310, Salt Lake City, UT 84102-1474 | 2016-02-19 |
| 1922478650 | Karen Cone-uemura | Psychologist | 201 S 1460 East, Salt Lake City, UT 84112-9061 | 2015-10-07 |
| 1649674318 | Neal Christensen | Psychologist | 3713 S Twinbrook St, Salt Lake City, UT 84109-3713 | 2014-10-09 |
| 1578817532 | Melissa Alder | Psychologist | 1300s 1709e, Suite 200, Salt Lake City, UT 84108 | 2012-10-30 |
| 1598031460 | Seong-in Choi | Psychologist | 155 South 300 West, Asian Association of Utah, Salt Lake City, UT 84115-1217 | 2012-03-26 |
| 1861765554 | Steven Edward Mccowin | Psychologist | 4568 S Highland Dr, Ste 100, Salt Lake City, UT 84117-4234 | 2012-02-11 |
| 1437390473 | Susan Elizabeth Macnamara | Psychologist | 2340 Oneida St, Salt Lake City, UT 84109-1527 | 2009-03-22 |
| 1821269002 | Eric Hanson Phd | Psychologist | 2040 E Murray Holladay Road #222, Salt Lake City, UT 84117 | 2008-03-17 |
| 1497970677 | John D Richards | Psychologist | 3545 Avondale Dr, Salt Lake City, UT 84121-5502 | 2007-04-14 |
| 1891817060 | Paul Anthony Gore Jr. | Psychologist | 1705 Campus Center Dr, University of Utah, Salt Lake City, UT 84112-9299 | 2007-04-06 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84101 |
Please comment or provide details below to improve the information on JAMIE LEIGH BUSTAMANTE.
| 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.