RANDEL BROOKS (NPI# 1114528015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114528015 |
| Entity Type | Individual |
| Full Name | RANDEL BROOKS |
| Credential | RN |
| Practice Address |
1023 Soho Dr Midvale UT 84047-4770 |
| Practice Telephone | 2028416837 |
| Mailing Telephone | 2028416837 |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
95167168 | CA | Nursing Service Providers |
| Street Address |
1023 SOHO DR |
| City | MIDVALE |
| State | UT |
| Zip Code | 84047-4770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885096 | Wound Pros Utah | Durable Medical Equipment & Medical Supplies | 6975 Union Park Avenue, Suite 600, Cottonwood Heights, UT 84047 | 2020-09-12 |
| 1457965824 | Duy Danny Vo | Pharmacist | 7200 S State St, Midvale, UT 84047 | 2020-09-03 |
| 1619457314 | Tlcpo LLC | Counselor | 6975 Union Park Avenue Suite 600, Cottonwood Heights, UT 84047 | 2018-08-21 |
| 1700371606 | Heather Ivana Lawrence | Social Worker | 6856 700 E, Midvale, Ut 84047, Midvale,ut, UT 84047 | 2018-06-25 |
| 1285128942 | A&a Counseling | Counselor | 7602 S Main St, Midvale, UT 84047 | 2018-06-17 |
| 1396235339 | Hhalmid | Assisted Living Facility | 6968 S 700 E, Midvale, UT 84047 | 2018-05-15 |
| 1750879987 | Rosemarie Elaine Brinig | Counselor | 75 E. Ft. Union, C118, Midvale, UT 84047 | 2018-04-24 |
| 1861921140 | Olivia Devenport | Behavior Technician | 7434 S State Street, Midvale, UT 84047 | 2017-06-08 |
| 1376083071 | Marathon Health, LLC | Nurse Practitioner | 7259 South Bingham Junction, C/o Chg- Ut Health Center, Midvale, UT 84047 | 2017-02-28 |
| 1710436316 | Michael Naanes | Physical Therapist | 900 East 6900 South, Suite 100, Midvale, UT 84047 | 2016-09-25 |
| Find all providers in zip 84047 | ||||
| Taxonomy Code | 163WC0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568756237 | Colleen Wright | Registered Nurse | 7302 S Bingham Junction Blvd, Midvale, UT 84047-4804 | 2011-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285258699 | Steven Pham | Registered Nurse | 1118 W Wimbledon Ridge Ln, West Jordan, UT 84084-3500 | 2020-06-01 |
| 1558563650 | Doris Gale Cowan | Registered Nurse | 590 North 100 East, Beaver, UT 84713 | 2007-06-01 |
| 1073114864 | Stephanie Bevill | Registered Nurse | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-11-06 |
| 1790385367 | Nicholas Harper | Registered Nurse | 3765 S 3650 W, West Haven, UT 84401-9373 | 2020-10-31 |
| 1578172904 | Justin Richard Degooyer | Registered Nurse | 4401 Harrison Blvd, Ogden, UT 84403-3195 | 2020-07-31 |
| 1346875325 | Shalese Marie Killian | Registered Nurse | 250 W 300 N, Roosevelt, UT 84066-2336 | 2020-03-10 |
| 1154956274 | Samantha Topham | Registered Nurse | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-03-09 |
| 1972138337 | Ryan Scott | Registered Nurse | 500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2020-03-05 |
| 1790225209 | Jennifer Gros | Registered Nurse | 500 Foothill Dr, Salt Lake City, UT 84148-3186 | 2017-03-02 |
| 1710272026 | Cheryl L Pierce | Registered Nurse | 5121 S Cottonwood St, Salt Lake City, UT 84107-5701 | 2011-06-15 |
| Find all providers with the same taxonomy | ||||
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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.