TYLER ASHTON BRIDGEWATER (NPI# 1215378377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215378377 |
| Entity Type | Individual |
| Full Name | TYLER ASHTON BRIDGEWATER |
| Credential | FNP-C |
| Practice Address |
401 S 400 E Bountiful UT 84010-4933 |
| Mailing Address |
976 Foxboro Dr North Salt Lake UT 84054-6002 |
| Practice Telephone | 8012952361 |
| Mailing Telephone | 8012448968 |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2013-07-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
7078841-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
401 S 400 E |
| City | BOUNTIFUL |
| State | UT |
| Zip Code | 84010-4933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275560062 | Providential Bba Operating Lp | Home Health | 401 S 400 E, Bountiful, UT 84010-4933 | 2006-06-27 |
| 1427679448 | Richard T Hinkle | Emergency Medical Technician, Basic | 401 S 400 E, Bountiful, UT 84010-4933 | 2020-04-30 |
| 1922517432 | Danielle Foster Oberg | Occupational Therapist | 401 S 400 E, Bountiful, UT 84010-4933 | 2017-09-27 |
| 1407305154 | Dayna Epperson | Occupational Therapist | 401 S 400 E, Bountiful, UT 84010-4933 | 2016-09-22 |
| 1437588902 | Sarah Gehrig | Occupational Therapist | 401 S 400 E, Bountiful, UT 84010-4933 | 2013-11-05 |
| 1306910971 | Beverly Louise Homer | Speech-Language Pathologist | 401 S 400 E, Beverly Homer Mountain Land Rehabilitation, Bountiful, UT 84010 | 2006-11-17 |
| 1871667451 | Jennifer M Bangs | Occupational Therapist | 401 S 400 E, Mountain Land Rehabilitation, Bountiful, UT 84010-4933 | 2006-11-17 |
| 1356415939 | Jay D Parker | Occupational Therapist | 401 S 400 E, Bountiful, UT 84010-4933 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225699192 | Jessyca K Willie | Behavior Technician | 415 S. Medical Drive Suite D101, Bountiful, UT 84010 | 2019-06-21 |
| 1336634344 | Shanna Joy Jaggers | Social Worker | 2333 S 200 E, Bountiful, UT 84010 | 2018-06-22 |
| 1447773171 | Live Life Alarms | Emergency Response System Companies | 640 South 500 West, Bountiful, UT 84010 | 2017-07-25 |
| 1902328842 | Hailey Embley | Behavior Technician | 415 Medical Drive D 101, Bountiful, UT 84010 | 2017-07-12 |
| 1508318031 | Beverly Nielsen | Psychologist | 1001 Lakeview Drive, Bountiful, UT 84010 | 2016-11-01 |
| 1295287720 | Samantha Oslund | Speech-Language Pathologist | 415 Medical Dr Ste B102, Bountiful, UT 84010 | 2016-11-01 |
| 1750748273 | Jeremy Clark Morris | Dentist | 59 W 1600 N, Suite 110, Bountiful, UT 84010 | 2016-01-28 |
| 1629464706 | Shane James | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010 | 2015-04-15 |
| 1891186102 | Kenton Francis | Social Worker | 1355 North Main Street #1, Bountiful, UT 84010 | 2015-02-09 |
| 1205233855 | Modern Dental Professionals - Utah, PC | Dentist | 24 S. 500 West, #a, Bountiful, UT 84010 | 2014-11-25 |
| Find all providers in zip 84010 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164021721 | Mistie Sue Manning | Nurse Practitioner | 1551 Renaissance Towne Dr Ste 370, Bountiful, UT 84010-7675 | 2020-10-23 |
| 1437705134 | Sabrina Lou Harman | Nurse Practitioner | 3539 S 800 W, Bountiful, UT 84010-8316 | 2019-08-18 |
| 1578118253 | Jeffrey Leon Bowen | Nurse Practitioner | 1741 S 75 E, Bountiful, UT 84010-5220 | 2019-08-08 |
| 1821583519 | Shalise Hali Owens | Nurse Practitioner | 320 W 500 S Ste 210, Bountiful, UT 84010-7254 | 2018-06-26 |
| 1457852378 | Shanlee Pierson | Nurse Practitioner | 930 N 650 E, Bountiful, UT 84010-2608 | 2018-02-26 |
| 1275524258 | Lisa Ann Sharp | Nurse Practitioner | 520 East Medical Dr., Suite 301, Bountiful, UT 84010-2000 | 2005-10-31 |
| 1811529233 | Kathleen Christenson Heslop | Nurse Practitioner | 485 E 500 S, Bountiful, UT 84010-3801 | 2020-02-05 |
| 1508410622 | Lindsay S Martinez | Nurse Practitioner | 557 W 2600 S, Bountiful, UT 84010-7717 | 2019-07-26 |
| 1124549100 | Niesha R Nelson | Nurse Practitioner | 557 W 2600 S, Bountiful, UT 84010-7717 | 2017-06-29 |
| 1609226091 | Brittaney Lee Cahoon | Nurse Practitioner | 557 W 2600 S, Bountiful, UT 84010-7717 | 2016-06-15 |
| Find all providers in BOUNTIFUL | ||||
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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.