ZOIE LEEANN BLEAK (NPI# 1003326422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003326422 |
Entity Type | Individual |
Full Name | ZOIE LEEANN BLEAK |
Practice Address |
4444 S 700 E Salt Lake City UT 84107-3075 |
Practice Telephone | 8012684887 |
Enumeration Date | 2017-10-11 |
Last Update Date | 2017-10-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225500000X | Specialist/Technologist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
4444 S 700 E |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84107-3075 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912064650 | Community Treatment Alternatives | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4444 S 700 E, 203, Salt Lake City, UT 84107-3075 | 2007-01-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
Find all providers in zip 84107 |
Taxonomy Code | 225500000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Specialist/Technologist |
General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487627832 | Gary Eugene Briggs | Specialist/Technologist | 301 W South Temple, Salt Lake City, UT 84101-1216 | 2006-02-08 |
1831601624 | Zachary Carl Walton | Specialist/Technologist | 4444 S 700 E Ste 203, Salt Lake City, UT 84107-3075 | 2017-11-01 |
1427560895 | Briley Shadoh-lea Thirion | Specialist/Technologist | 4444 S 700 E Ste 203, Salt Lake City, UT 84107-3075 | 2017-10-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275170706 | Richard Boman | Specialist/Technologist | 500 Sugar St, Layton, UT 84041-4616 | 2019-12-03 |
1326547019 | Jenica Rae Neuffer | Specialist/Technologist | 4060 Devonshire Dr, Provo, UT 84604-5347 | 2018-02-08 |
1801398995 | Alycianna Thomas | Specialist/Technologist | 5126 W Daybreak Pkwy, South Jordan, UT 84009-5994 | 2018-03-05 |
City | SALT LAKE CITY |
Zip Code | 84107 |
Please comment or provide details below to improve the information on ZOIE LEEANN BLEAK.
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.