L BRENT HAFEN (NPI# 1457371692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457371692 |
| Entity Type | Individual |
| Full Name | L BRENT HAFEN |
| Credential | MS |
| Practice Address |
400 C St Salt Lake City UT 84143-1005 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 8014083897 |
| Mailing Telephone | 8014083897 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170300000X | Genetic Counselor, MS | 51475563601 | UT | Other Service Providers |
| Street Address |
400 C ST |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84143-1005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700802246 | Michael J Lahey | Internal Medicine | 400 C St, Salt Lake City, UT 84143-1005 | 2006-07-15 |
| 1306908264 | Christina A Lloyd | Nurse Practitioner | 400 C St, Salt Lake City, UT 84143-1005 | 2006-12-15 |
| 1659441780 | Michael Francis Coudreaut | Psychiatry & Neurology | 400 C St, Salt Lake City, UT 84143-1005 | 2006-11-08 |
| 1104996222 | David K Ryser | Psychiatry & Neurology | 400 C St, Salt Lake City, UT 84143-1005 | 2006-11-08 |
| 1811092216 | Craig R Jensen | Anesthesiology | 400 C St, Salt Lake City, UT 84143-1005 | 2006-09-13 |
| 1730281478 | Theodore J Wander | Psychiatry & Neurology | 400 C St, Salt Lake City, UT 84143-1005 | 2006-09-02 |
| 1205938958 | Bradley J Morris | Physician Assistant | 400 C St, Salt Lake City, UT 84143-1005 | 2006-09-02 |
| 1295837938 | Jess A Cone | Social Worker | 400 C St, Salt Lake City, UT 84143-1005 | 2006-09-02 |
| 1790887446 | Frank O Thomas | Internal Medicine | 400 C St, Salt Lake City, UT 84143-1005 | 2006-09-02 |
| 1639271398 | Polly P Bailey | Nurse Practitioner | 400 C St, Salt Lake City, UT 84143-1005 | 2006-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053725572 | Robert Thomas Nuttall | Respiratory Therapist, Registered | 8th Ave. and C Street, Salt Lake City, UT 84143 | 2014-06-12 |
| 1346447331 | Intermountain Healthcare | General Acute Care Hospital | 8th Avenue and 'c' Street, Salt Lake City, UT 84143 | 2007-07-02 |
| 1629142898 | Robert L Mazzola | Internal Medicine | 8th & C Street, Intermountain Sleep Disorders Center - Lds Hospital, Salt Lake City, UT 84143 | 2006-11-20 |
| 1053407726 | Tom V Cloward | Internal Medicine | 400 D Street Ste 206, Salt Lake City, UT 84143 | 2006-10-04 |
| 1396838926 | Sharon Briggs Schneider | Pharmacist | 8th Ave and C Street, Salt Lake City, UT 84143 | 2006-10-02 |
| 1700818911 | Rebecca Bailey | Psychologist | 4n, 8th Ave C Street, Salt Lake City, UT 84143 | 2006-07-07 |
| 1851348924 | Gayle White | Nurse Practitioner | 8th Ave C Street, Lds Hospital Wound Care Service, Salt Lake City, UT 84143 | 2006-05-27 |
| 1669459301 | Steven Eugene Nickman | Physician Assistant | 8th Avenue & C Street, Lds Hospital E8/ibmt Program, Salt Lake City, UT 84143 | 2005-12-23 |
| 1912454448 | Todd J Seamons | Pharmacist | 8th Ave & C St, Outpatient Pharmacy, Salt Lake City, UT 84143 | 2016-09-01 |
| 1235568130 | Intermountain Healthcare | General Acute Care Hospital | 8th Avenue and C St, Lds Hospital, Salt Lake City, UT 84143 | 2013-11-01 |
| Find all providers in zip 84143 | ||||
| Taxonomy Code | 170300000X |
| Grouping | Other Service Providers |
| Classification | Genetic Counselor, MS |
| A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: National Society of Genetic Counselors [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558915033 | Andrea Joann Stoddard | Genetic Counselor, MS | 500 Foothill Dr # 10p11, Salt Lake City, UT 84148-0001 | 2019-08-01 |
| 1740768241 | Dana Lin Jarvis | Genetic Counselor, MS | 615 S Arapeen Dr Ste 212, Salt Lake City, UT 84108-1267 | 2018-08-06 |
| 1871070094 | Nina Camille Hann | Genetic Counselor, MS | 615 Arapeen Drive Ste 212, Office 2a04, Salt Lake City, UT 84148-1267 | 2018-07-20 |
| 1053860932 | Audrey Rutz | Genetic Counselor, MS | Division Pediatric Genetics, 50 North Mario Capecchi Drive, Salt Lake City, UT 84132-0001 | 2016-10-03 |
| 1538531199 | Cathryn Koptiuch | Genetic Counselor, MS | 2000 Circle of Hope Dr Rm 1148, Salt Lake City, UT 84112-5550 | 2015-10-22 |
| 1992144356 | Lauren Rose Eimers | Genetic Counselor, MS | 50 N Medical Dr Rm 2165, Salt Lake City, UT 84132-1204 | 2013-06-19 |
| 1841553344 | Dawn Mcgee | Genetic Counselor, MS | 1861 E 1700 S, Salt Lake City, UT 84108-2932 | 2012-06-19 |
| 1790059038 | Deborah Ernstein Holley Hartzfeld | Genetic Counselor, MS | 615 Arapeen Drive #212, Salt Lake City, UT 84148 | 2012-03-05 |
| 1518245158 | Renee Anne Rider | Genetic Counselor, MS | Dept of Veteran Affairs Genomic Medicine, 500 Foothill Drive (151z), Salt Lake City, UT 84148-0001 | 2011-08-01 |
| 1861714727 | Amanda Dawn Gammon | Genetic Counselor, MS | 2000 Circle of Hope Dr Rm 4158, Salt Lake City, UT 84112-5550 | 2010-02-19 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84143 |
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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.