TODD HAMBLIN (NPI# 1093092678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093092678 |
| Entity Type | Individual |
| Full Name | TODD HAMBLIN |
| Practice Address |
1350 N 500 E Logan UT 84341-2400 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 4357161130 |
| Practice Fax Number | 4357191131 |
| Mailing Telephone | 4357161130 |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5554739-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1350 N 500 E, Logan, UT 843412400 | 4357161130 | 4357191131 |
| 1055 N 500 W, Suite 202, Provo, UT 846043305 | 8013742367 | 8014298015 |
| Street Address |
1350 N 500 E |
| City | LOGAN |
| State | UT |
| Zip Code | 84341-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295707677 | Corey Wyn Walker | Internal Medicine | 1350 N 500 E, Logan, UT 84341-2400 | 2006-02-01 |
| 1790315281 | Stacy Hepner | Advanced Practice Midwife | 1350 N 500 E, Logan, UT 84341-2400 | 2020-01-23 |
| 1083265029 | Amanda E Stott | Family Medicine | 1350 N 500 E, Logan, UT 84341-2400 | 2019-09-20 |
| 1093375727 | Kristiana Hales | Pharmacist | 1350 N 500 E, Logan, UT 84341-2400 | 2019-06-14 |
| 1376033456 | Deven Willardson | Nurse Practitioner | 1350 N 500 E, Logan, UT 84341-2400 | 2018-05-15 |
| 1154826618 | Ihc Health Services Inc | Clinic/Center | 1350 N 500 E, Logan, UT 84341-2400 | 2018-03-27 |
| 1801303003 | Becky Jean Rasmuson | Nurse Practitioner | 1350 N 500 E, Logan, UT 84341 | 2018-01-09 |
| 1558722900 | Ihc Health Services Inc | Family Medicine | 1350 N 500 E, Logan, UT 84341-2400 | 2016-03-14 |
| 1326420639 | Brian Ralph Balls | Physical Therapy Assistant | 1350 N 500 E, Suite 120, Logan, UT 84341-2400 | 2015-06-23 |
| 1073994810 | Benjamin Seale | Physician Assistant | 1350 N 500 E, Logan, UT 84341-2400 | 2015-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701529 | Aubrey Salmond | Registered Nurse | 500 East 1500 N, Logan, UT 84341 | 2019-10-11 |
| 1043702046 | Eye Pros of Logan LLC | Optometrist | 1475 N Main St Ste 103, Logan, UT 84341 | 2018-06-05 |
| 1275050452 | Rylie Jeanne Cook | Student in an Organized Health Care Education/Training Program | 11 Aggie Village Apt. J, Logan, UT 84341 | 2017-08-28 |
| 1093262156 | Jessica Lynn Mcgarry | Social Worker | 1040 N 130 W, Apt 100, Logan, UT 84341 | 2016-09-07 |
| 1740663566 | Paul R Gregory | Occupational Therapy Assistant | 1300 N 500 E Suite 120, Suite 120, Logan, UT 84341 | 2015-06-30 |
| 1851708846 | Bradley Budge | Optometrist | 535 E 1400 N Ste 130, Logan, UT 84341 | 2014-07-22 |
| 1386058709 | Daniel Raymond Carlson | Physician Assistant | 500 E. 1400 N., Logan, UT 84341 | 2014-06-13 |
| 1902220239 | Work Injury Solutions Inc. | Clinic/Center | 630 E 1400 N Ste 140, Logan, UT 84341 | 2014-02-06 |
| 1750627287 | Lee Martin Williams Sr. | Counselor | 186 E. 1800 N., North Logan, UT 84341 | 2013-01-03 |
| 1669747804 | Ronald J Payne | Internal Medicine | 1726 North 1850 East, North Logan, UT 84341 | 2012-03-21 |
| Find all providers in zip 84341 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811519085 | Savannah Alder | Nurse Practitioner | 82 N 1250 E, Logan, UT 84321-4920 | 2020-05-11 |
| 1912537887 | Kathryn Grace Quezada | Nurse Practitioner | 165 E 100 N Apt E, Logan, UT 84321-4630 | 2020-01-20 |
| 1104395375 | William Ray Watkins Jr. | Nurse Practitioner | 214 Hanging Rock Hwy, Logan, WV 25601-5102 | 2018-11-17 |
| 1841783727 | Erica Lupson | Nurse Practitioner | 3 Mile Curve, Logan, WV 25601 | 2018-06-14 |
| 1265959704 | Benjamin Tackett | Nurse Practitioner | 140 Stollings Ave Ste 1, Logan, WV 25601-4035 | 2017-08-25 |
| 1295275717 | Jennifer Courtney Coleman | Nurse Practitioner | 25 Mae St, Logan, OH 43138-8965 | 2017-03-02 |
| 1194100701 | Kendall Gilbert Brown | Nurse Practitioner | 1225 Valley View Dr, Logan, UT 84321-4585 | 2015-07-24 |
| 1255731014 | Donalee Thomson | Nurse Practitioner | 850 E 1200 N 9100 Old Main Hl, Logan, UT 84322-9100 | 2014-08-29 |
| 1265717250 | Martin L. Codispoti | Nurse Practitioner | 122 Nick Savas Dr, Logan, WV 25601-3468 | 2011-10-21 |
| 1922242262 | Cynthia Lynn Hazelwood | Nurse Practitioner | 2310 N 400 E Ste A, Logan, UT 84341-1796 | 2009-04-30 |
| Find all providers in LOGAN | ||||
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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.