MR. BRETT DAVIN ANDRADA (NPI# 1427252402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427252402 |
| Entity Type | Individual |
| Full Name | MR. BRETT DAVIN ANDRADA |
| Credential | COTA |
| Practice Address |
1640 Redstone Center Dr Ste 200 Park City UT 84098-7607 |
| Mailing Address |
3516 Sw 130th St Oklahoma City OK 73170-5422 |
| Practice Telephone | 4356450788 |
| Mailing Telephone | 4057592008 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | A707 | OK | Other Service Providers |
| Street Address |
1640 REDSTONE CENTER DR STE 200 |
| City | PARK CITY |
| State | UT |
| Zip Code | 84098-7607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912428186 | Rachel Bittenson | Occupational Therapist | 1640 Redstone Center Dr Ste 200, Park City, UT 84098-7607 | 2017-06-28 |
| 1871034538 | Carla Ortiz | Occupational Therapist | 1640 Redstone Center Dr Ste 200, Park City, UT 84098-7607 | 2017-03-14 |
| 1356795736 | Okwukwe Ibiam | Speech-Language Pathologist | 1640 Redstone Center Dr Ste 200, Park City, UT 84098-7607 | 2016-04-21 |
| 1700201894 | Roland Curtis Anthony | Spec/Tech, Cardiovascular | 1640 Redstone Center Dr Ste 200, Park City, UT 84098-7607 | 2014-02-26 |
| 1326377169 | Ricardo Ulysses Molina | Physical Therapy Assistant | 1640 Redstone Center Dr Ste 200, Park City, UT 84098-7607 | 2009-12-07 |
| 1265671762 | Kasey Dutra | Occupational Therapist | 1640 Redstone Center Dr Ste 200, Park City, UT 84098-7607 | 2009-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972069532 | Natasha Nicolle Peterson | Nurse Practitioner | Stat Md, 1784 Uinta Way E, Park City, UT 84098 | 2019-02-19 |
| 1750732079 | Rebecca Hansen | Physical Therapist | 1640 W Redstone Center Dr, Suite 200, Park City, UT 84098 | 2016-06-28 |
| 1497126130 | Megan Franz | Counselor | 3100 Pinebrook Rd, Park City, UT 84098 | 2015-10-07 |
| 1568752541 | Kortney James Stirland | Pharmacist | 750 Round Valley Drive #203, Park City, UT 84098 | 2011-04-12 |
| 1265763379 | Amy S Koch | Physical Therapy Assistant | 1640 West Redstone Drive, Suite 200, Park City, UT 84098 | 2010-01-29 |
| 1134374648 | Donna B Fischer | General Practice | 6531 N Landmark Dr., Park City, UT 84098 | 2008-11-25 |
| 1962659458 | Patricia A Lindsay Phd Inc | Psychologist | 1743 W Redstone Ctr Dr, #115, Park City, UT 84098 | 2008-08-26 |
| 1437314291 | Jeffrey S Holverson | Internal Medicine | 6240 N Snowview Dr, Park City, UT 84098 | 2008-07-22 |
| 1578728515 | Blair Archbold Smith | Physical Therapist | 6880 Canyon Drive Court, Park City, UT 84098 | 2008-07-18 |
| 1821255274 | Beth Anita Rylands | Physical Therapy Assistant | 1640 W. Redstone Center Dr., Suite 200, Park City, UT 84098 | 2008-05-21 |
| Find all providers in zip 84098 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306352091 | Gary Thomas | Specialist | 1820 Sidewinder Dr Ste 100, Park City, UT 84060-7563 | 2017-12-18 |
| 1447696331 | Leslie W Cooper Md Pllc | Specialist | 8931 Sackett Dr, Park City, UT 84098-5836 | 2013-05-17 |
| 1811236706 | Robert Gills Weiner | Specialist | 8609 Marmot Cir, Park City, UT 84098-6232 | 2013-02-12 |
| 1184630071 | Stephanie M Singer | Specialist | 1441 W. Ute Blvd., Suite 160, Park City, UT 84098 | 2006-07-31 |
| 1063470136 | Viet Nguyen | Specialist | 1612 Ute Blvd, 112, Park City, UT 84098-7500 | 2006-05-01 |
| 1689167868 | Elysia Barr | Specialist | 1753 Sidewinder Dr # 200, Park City, UT 84060-7322 | 2018-06-12 |
| 1285126276 | Veronica Asusena Salazar | Specialist | 1753 Sidewinder Dr, Park City, UT 84060-7322 | 2018-06-05 |
| 1710346960 | Alpine Sports Medicine | Specialist | 1850 Sidewinder Dr, Park City, UT 84060-7471 | 2016-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962045237 | Brian Baker | Specialist | 8796 S 4770 W, West Jordan, UT 84088-4930 | 2019-10-19 |
| 1477112464 | Protectus Wound Care | Specialist | 4 Ravenwood Ln, Sandy, UT 84092-4849 | 2019-06-12 |
| 1255803920 | Premier Pediatrics LLC | Specialist | 48 S 2500 W Ste 220, Hurricane, UT 84737-3380 | 2018-12-19 |
| 1255824090 | Jose Ramiro Izquierdo | Specialist | 6975 S Union Park Ctr, Cottonwood Heights, UT 84047-6048 | 2018-06-06 |
| 1669964516 | Marissa King | Specialist | 1141 E. 3900 S. Suite 150a, Salt Lake, UT 84121 | 2018-06-05 |
| 1922533751 | Natasha Peterson | Specialist | 84 E 150 N, American Fork, UT 84003-1624 | 2017-04-30 |
| 1265967814 | Sahra Askalany Affleck | Specialist | 5543 W 10180 N, Highland, UT 84003-9154 | 2017-04-20 |
| 1699209221 | Mountain Spine PC | Specialist | 11613 S State St, Draper, UT 84020-9456 | 2017-04-20 |
| 1215475116 | Megan Porter | Specialist | 307 N 300 W Ste 301, Kaysville, UT 84037-1852 | 2017-02-10 |
| 1770028698 | Hannah Michaela Waters | Specialist | 457 N 900 E, Lindon, UT 84042-2537 | 2017-01-01 |
| 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.