AMANDA BORUP (NPI# 1003372806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003372806 |
Entity Type | Individual |
Full Name | AMANDA BORUP |
Other Name | MISS AMANDA LEE BORUP |
Credential | APRN, PMHNP-BC |
Practice Address |
90 E 200 N Logan UT 84321-4034 |
Practice Telephone | 4357349449 |
Mailing Telephone | 4357349449 |
Enumeration Date | 2019-02-16 |
Last Update Date | 2019-03-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
4951373-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
90 E 200 N |
City | LOGAN |
State | UT |
Zip Code | 84321-4034 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285736553 | Bear River Mental Health Services Inc | Counselor | 90 E 200 N, Logan, UT 84321-4034 | 2006-09-05 |
1740887355 | Amber Christine Guerrero | Case Manager/Care Coordinator | 90 E 200 N, Logan, UT 84321-4034 | 2020-10-06 |
1417554395 | Sophie Victoria Hancey | Case Manager/Care Coordinator | 90 E 200 N, Logan, UT 84321-4034 | 2020-10-05 |
1891392080 | Toni Brooke Dunsmore | Case Manager/Care Coordinator | 90 E 200 N, Logan, UT 84321-4034 | 2020-10-01 |
1588271266 | Logan Christensen | Case Manager/Care Coordinator | 90 E 200 N, Logan, UT 84321-4034 | 2020-09-28 |
1912512120 | Rebecca Freeman | Case Manager/Care Coordinator | 90 E 200 N, Logan, UT 84321-4034 | 2020-09-14 |
1821603374 | Veronica Helen Sullivan | Case Manager/Care Coordinator | 90 E 200 N, Logan, UT 84321-4034 | 2020-09-11 |
1881207512 | Landon Carter | Case Manager/Care Coordinator | 90 E 200 N, Logan, UT 84321-4034 | 2020-08-24 |
1528671260 | Galen Perry Huffcutt | Peer Specialist | 90 E 200 N, Logan, UT 84321-4034 | 2020-08-24 |
1144832114 | Brian Christopher Sessions | Social Worker | 90 E 200 N, Logan, UT 84321-4034 | 2020-08-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265074157 | Grant E Severe | Pharmacist | 175 E 442 N, Logan, UT 84321 | 2019-10-11 |
1437712585 | Gregory Scott Hansen | Pharmacist | 412 East 200 North, Logan, UT 84321 | 2019-04-15 |
1043701584 | Mckell Peidl | Behavior Technician | 240 E 400 N Apt 8, Logan, UT 84321 | 2018-05-21 |
1801331194 | Eric Dutson | Speech-Language Pathologist | 964 W 2880 S, Nibley, UT 84321 | 2016-12-22 |
1063805299 | Krystal Cox | Marriage & Family Therapist | 493 North 700 East, Logan, UT 84321 | 2015-03-12 |
1013340801 | Carly D. L. Lebaron | Marriage & Family Therapist | 95 W. 100 S., Suite 360, Logan, UT 84321 | 2013-08-15 |
1669710471 | Brandon Bailey | Counselor | 1465 N. 300 W., Ste. A, Brigham, UT 84321 | 2013-01-29 |
1871843086 | Brandi Lee Richins | Social Worker | 90 E. 200 N., Logan, UT 84321 | 2012-09-14 |
1922356732 | Stacy Lynn Hamilton Jones | Marriage & Family Therapist | 60 East Center Street, Suite 205, Keystone Family Solutions, Logan, UT 84321 | 2012-08-28 |
1992002455 | Robert Thomas Allred | Chiropractor | 944 South Highway 89/91, Logan, UT 84321 | 2011-02-18 |
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Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336661784 | Megan Correll | Nurse Practitioner | 541 Sr 664n, Suite C, Logan, OH 43138 | 2017-07-07 |
1669096962 | Leah Kathleen Garrison | Nurse Practitioner | 601 State Route 664 N, Logan, OH 43138-8541 | 2020-06-02 |
1164839031 | Brett Wilson | Nurse Practitioner | 541 State Route 664 N, Suite C, Logan, OH 43138-8541 | 2014-07-12 |
1659653566 | Paige Diane Barnard | Nurse Practitioner | 2380 N 400 E Ste C, Logan, UT 84341-1756 | 2011-09-16 |
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1114536737 | Bradley Martin | Nurse Practitioner | 31 M St Apt 110, Salt Lake City, UT 84103-3846 | 2020-07-29 |
1710595178 | Shannon Lee Zaryoun | Nurse Practitioner | 7970 S Grand Vista Way, Cottonwood Heights, UT 84121-5683 | 2020-07-21 |
1023640851 | Senior Nurse Practitioner Consultants | Nurse Practitioner | 5802 S 900 E # 3, Murray, UT 84121-1644 | 2020-02-10 |
1245877448 | Carla Lucile Applegate-anderson | Nurse Practitioner | 2666 South 2000 East, Suite 101, Salt Lake City, UT 84109 | 2019-12-06 |
1124676044 | Marie R. Hurst | Nurse Practitioner | 5974 Fashion Point Dr Ste 140, South Ogden, UT 84403-4838 | 2019-09-04 |
1437706058 | Austin Sumner Heaps | Nurse Practitioner | 1044 N 600 E, Morgan, UT 84050-9269 | 2019-08-19 |
1821565839 | Clint Lee Martineau | Nurse Practitioner | 230 N 1680 E # 1, Saint George, UT 84790-2579 | 2018-10-28 |
1356827505 | Ashley Smith | Nurse Practitioner | 515 N 600 E, Hyrum, UT 84319-1133 | 2018-07-11 |
1588176606 | Bradley Keep | Nurse Practitioner | 4610 W 9980 N, Cedar Hills, UT 84062-8728 | 2017-10-30 |
1023548070 | Sarah Leggett | Nurse Practitioner | 9235 S Redwood Rd Ste A, West Jordan, UT 84088-5811 | 2017-06-13 |
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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.