SHANE BULLOCK (NPI# 1033465950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033465950 |
| Entity Type | Individual |
| Full Name | SHANE BULLOCK |
| Practice Address |
5456 Arches Dr Salt Lake City UT 84129-1704 |
| Practice Telephone | 8018152833 |
| Enumeration Date | 2012-07-29 |
| Last Update Date | 2012-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
5456 ARCHES DR |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84129-1704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891140331 | Caring for Kearns | Social Worker | 5525 S 4015 W, Suite #207 A & B, Taylorsville, UT 84129 | 2016-05-03 |
| 1386014116 | Rusty Scott Burns | Physician Assistant | 4745 South 3200 West, Oquirrh View Clinic, Taylorsville, UT 84129 | 2015-10-06 |
| 1013398817 | Clifford Simpson | Counselor | 4897 S Avant Cir, Taylorsville, UT 84129 | 2015-06-17 |
| 1912328576 | Heather Jenkins | Substance Abuse Rehabilitation Facility | 6200 South 3809 West, Kearns, UT 84129 | 2013-12-30 |
| 1184981201 | Intermountain Community Supports and Services, LLC | In Home Supportive Care | 5104 Heritage Cove, Taylorsville, UT 84129 | 2012-04-13 |
| 1093039521 | Chad Alan Spain | Family Medicine | 3745 West 4700 South, Family Practice, Taylorsville, UT 84129 | 2010-03-26 |
| 1396068342 | Lindsay Helena Wilson | Dermatology | 3845 West 4700 South, Intermountain Healthcare Taylorsville Clinic, Taylorsville, UT 84129 | 2010-03-04 |
| 1962962407 | Craig J Campbell Dpm PC | Durable Medical Equipment & Medical Supplies | 5255 S 4015 W, #140, Salt Lake City, UT 84129 | 2019-03-21 |
| 1851866735 | Katie Nicholls | Physician Assistant | 4745 S 3200 W, Taylorsville, UT 84129 | 2018-10-08 |
| 1962829374 | Spencer Tingey | Family Medicine | 3730 W 4700 S, Taylorsville, UT 84129 | 2014-03-24 |
| Find all providers in zip 84129 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417579723 | Sungmin Kim | Social Worker | 3594 S 3610 E, Salt Lake City, UT 84109-3276 | 2020-05-08 |
| 1669093043 | Gabrielle M. Kouris | Social Worker | 2872 S Highland Dr Apt Suite, Salt Lake City, UT 84106-3147 | 2020-04-27 |
| 1467083592 | Veronique Markewitz | Social Worker | 4055 S 700 E Ste 102f, Salt Lake City, UT 84107-2174 | 2020-01-28 |
| 1659902872 | Kenji Kihara Hammon | Social Worker | 660 S 200 E Ste 302, Salt Lake City, UT 84111-3846 | 2020-01-27 |
| 1427605559 | Kelsie Gauchay | Social Worker | 888 S 400 W, Salt Lake City, UT 84101-4800 | 2019-08-22 |
| 1558923144 | Olivia Anne Hardwick | Social Worker | Transitions At Slrmc, 86 S. 1100 E. Suite 404, Salt Lake City, UT 84102 | 2019-07-03 |
| 1902379498 | Alexandra Mack | Social Worker | 2200 S State St Ste 200, Salt Lake City, UT 84115-2724 | 2019-01-07 |
| 1902377146 | Aimee Marie Nakamura | Social Worker | 81 N Capecchi Dr Fl 4, Salt Lake City, UT 84113-1125 | 2018-12-16 |
| 1568941078 | Tekla Victoria Leeann Mccabe | Social Worker | 1020 S Main St Ste 300, Salt Lake City, UT 84101-3195 | 2018-08-07 |
| 1407340805 | Lilian Lopez | Social Worker | 1141 E 3900 S Ste 250, Salt Lake City, UT 84124-1252 | 2018-06-19 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84129 |
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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.