BRANDY MARIE FAMILY & AESTHETIC CARE (NPI# 1275134132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275134132 |
Entity Type | Organization |
Organization Name | BRANDY MARIE FAMILY & AESTHETIC CARE |
Practice Address |
5991 S 3500 W Roy UT 84067-6701 |
Mailing Address |
2833 W 50 S West Point UT 84015-7221 |
Practice Telephone | 8018665353 |
Mailing Telephone | 8018665353 |
Enumeration Date | 2020-11-05 |
Last Update Date | 2020-11-05 |
Authorized Official Name | BRANDY M TAFOYA (OWNER/FAMILY NURSE PRACTITIONER) |
Authorized Official Telephone | 8018665353 |
Authorized Official Credential | APRN-C |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
5991 S 3500 W |
City | ROY |
State | UT |
Zip Code | 84067-6701 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700884848 | Anthony Gene Pruitt | Pediatrics | 5991 S 3500 W, Roy, UT 84067 | 2005-07-12 |
1306447362 | Brandy M Tafoya | Registered Nurse | 5991 S 3500 W, Roy, UT 84067-6701 | 2020-11-05 |
1952765653 | Don Carter | Specialist/Technologist | 5991 S 3500 W, Roy, UT 84067-6701 | 2016-04-08 |
1104183276 | Melanie Ann Fry | Pediatrics | 5991 S 3500 W, Suite 100, Roy, UT 84067-6701 | 2012-04-13 |
1154515328 | Joshua Brown | Physical Therapist | 5991 S 3500 W, Suite 300, Roy, UT 84067-6701 | 2007-08-30 |
1285797357 | Alisa Barnes | Physician Assistant | 5991 S 3500 W, Roy, UT 84067 | 2006-12-19 |
1881795797 | Kim Schneider | Occupational Therapist | 5991 S 3500 W, Suite 300, Roy, UT 84067-6701 | 2006-09-25 |
1609971506 | Kevin Rarick | Physician Assistant | 5991 S 3500 W, Ste 400, Roy, UT 84067-6701 | 2006-09-14 |
1306821079 | Vicki L Berger | Physician Assistant | 5991 S 3500 W, Roy, UT 84067 | 2005-12-14 |
1245211572 | Brandon M Hepner | Physical Therapist | 5991 S 3500 W, Suite 300, Roy, UT 84067 | 2005-11-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881218220 | Breen Family Medicine, Pllc | Nurse Practitioner | 5991 S 3500 N, Roy, UT 84067 | 2020-06-01 |
1902349657 | Kelson Physician Partner's of Layton, Inc. | Pediatrics | 5286 S. 3500 W., Suite A, Roy, UT 84067 | 2016-11-29 |
1609258433 | Daniel Neumann | Pediatrics | 5682 S 3500 W, Roy, UT 84067 | 2015-06-29 |
1659641868 | Kelson Physijcian Partners of Layton, Inc | Pediatrics | 4040 South Midland Dr, Suite 2, Roy, UT 84067 | 2012-01-04 |
1346542834 | Midland Dental | Dentist | 4040 South Midland Drive, Suite 1, Roy, UT 84067 | 2010-12-03 |
1437398427 | Earl M. Cammack Jr. | Counselor | 4484 So. 1900 West, Suite 6, Roy, UT 84067 | 2009-02-13 |
1609086495 | Kelson Physician Partners of Layton, Inc. | Pediatrics | 5991 South 3500 West, Suite 100, Roy, UT 84067 | 2007-05-23 |
1396832655 | Standard Optical Co | Optometrist | 5421 S 19th W, Roy, UT 84067 | 2006-10-06 |
1457452864 | Paul D Hopkins Dds PC | Dentist | 4902 S 1900 W Suite 2, Roy, UT 84067 | 2006-09-26 |
1710085261 | Thomas R Austad | Podiatrist | 1885 West 4400 South, Roy, UT 84067 | 2006-09-20 |
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Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881218220 | Breen Family Medicine, Pllc | Nurse Practitioner | 5991 S 3500 N, Roy, UT 84067 | 2020-06-01 |
1891289427 | Shannon Walker | Nurse Practitioner | 3039 W 4375 S, Roy, UT 84067-9521 | 2018-06-18 |
1801448790 | Traci Michelle Allison | Nurse Practitioner | 5640 S 3500 W, Roy, UT 84067 | 2019-07-11 |
1588025969 | Jill Woodring | Nurse Practitioner | 3443 W 5600 S, Roy, UT 84067-9103 | 2016-03-14 |
1144584228 | Jerrica Elizabeth Stoddard | Nurse Practitioner | 5640 S 3500 W, Roy, UT 84067-9158 | 2012-07-03 |
1790047157 | Chase Bailey | Nurse Practitioner | 3485 W 5200 S, Roy, UT 84067-9438 | 2012-06-12 |
1508154931 | Mary M Laumbach | Nurse Practitioner | 555 Wagon Mound Highway, Roy, NM 87743 | 2011-07-19 |
1790088797 | Kayleen Hall Wilson | Nurse Practitioner | 3485 W 5200 S, Roy, UT 84067-9438 | 2010-12-13 |
1285818898 | Kimberly Ann Greaves | Nurse Practitioner | 1915 W 5950 S, Roy, UT 84067-1454 | 2007-12-19 |
1972536001 | Shiloh C Manning | Nurse Practitioner | 5640 S 3500 W, Roy, UT 84067-9158 | 2006-07-09 |
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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.