DR. KATIE LYNNE BRUSSARD (NPI# 1497039036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497039036 |
Entity Type | Individual |
Full Name | DR. KATIE LYNNE BRUSSARD |
Credential | N.D. |
Practice Address |
2091 E 1300 S Ste 104 Salt Lake City UT 84108-2277 |
Practice Telephone | 8017833801 |
Practice Fax Number | 8336063378 |
Mailing Telephone | 8017833801 |
Mailing Fax Number | 8336063378 |
Enumeration Date | 2011-09-30 |
Last Update Date | 2020-01-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175F00000X | Naturopath | NT60359284 | WA | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
DEA LICENSE | MD3457668 | 01 | |
UT | NATUROPATHIC PHYSICIAN LICENSE | 11065179-7100 | 01 |
WA | NATUROPATHIC PHYSICIAN LICENSE | NT60359284 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
12371 S 900 E Ste 102, Draper, UT 84020 | 3852470775 | 3852470776 |
Street Address |
2091 E 1300 S STE 104 |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84108-2277 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801163746 | Kate Barton Miyagi | Naturopath | 2091 E 1300 S Ste 104, Salt Lake City, UT 84108-2277 | 2011-11-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548753056 | Maxine Ht Erickson | Assistant Behavior Analyst | 780 Guardsman Way, Salt Lake City, Ut 84108, Salt Lake City, USA 84108 | 2018-06-08 |
1841704061 | Robyn Carver | Occupational Therapist | 421 Wakara Wat, Salt Lake City, UT 84108 | 2017-11-27 |
1518478742 | Lcr Dental Sugar House | Dentist | 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 | 2017-10-16 |
1447708912 | Aubrianne Squire Evans | Occupational Therapist | 421 S Wakara Way Ste 201, Salt Lake City, UT 84108 | 2016-09-14 |
1629524426 | Ryan Weisenbeck | Specialist/Technologist | 580 S Guardsman Way, Salt Lake City, UT 84108 | 2016-08-31 |
1164885547 | Michael Fazzone | Student in an Organized Health Care Education/Training Program | 530 South Wakara Way, University of Urah, School of Dentistry, Salt Lake City, UT 84108 | 2016-04-01 |
1669833489 | Bryon Claflin | Registered Nurse | 650 S Komas Ste 200, Salt Lake City, UT 84108 | 2016-03-08 |
1801283833 | Autism Assement Treatment Program Adult | Psychologist | 650 S Komas, Suite 200, Salt Lake City, UT 84108 | 2015-04-16 |
1578993275 | Matthew and David Dental Pllc | Dentist | 1355 Foothill Drive, Salt Lake City, UT 84108 | 2013-11-15 |
1841631520 | Deepika Garg | Internal Medicine | 675 S Arapeen Dr Ste 205, Salt Lake City, UT 84108 | 2013-07-10 |
Find all providers in zip 84108 |
Taxonomy Code | 175F00000X |
Grouping | Other Service Providers |
Classification | Naturopath |
Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life. |
Notes: Source: The Federal Dictionary of Occupational Titles, U.S. Department of Labor, Washington, D.C., section #079, 101-014 [7/1/2007: definition changed, source added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588174064 | Aaron Potts | Naturopath | 1945 1100 E, #100, Salt Lake City, UT 84106 | 2017-10-10 |
1376095794 | Jeannette Daneals | Naturopath | 1945 South 1100 East, Suite 100, Salt Lake City, UT 84106 | 2016-11-02 |
1891246922 | Daniel B Reed | Naturopath | 1817 S Main St Ste 13, Salt Lake City, UT 84115-7051 | 2016-10-24 |
1528261120 | Todd Wallace Cameron | Naturopath | 1945 S 1100 E, Suite 202, Salt Lake City, UT 84106-2369 | 2007-06-09 |
1821219957 | Steven Osguthorpe | Naturopath | 5005 So. 900 East, Suite 100, Salt Lake City, UT 84117 | 2007-05-02 |
1952456576 | Rachel A. Burnett | Naturopath | 242 S 400 E, Suite A, Salt Lake City, UT 84111-2609 | 2007-01-24 |
1669527271 | Matthew D Burnett | Naturopath | 989 E 900 S Ste A1, Salt Lake City, UT 84105-1452 | 2007-01-24 |
1245273861 | Harry Adelson | Naturopath | 2188 South Highland Drive, Ste 210, Salt Lake City, UT 84106 | 2006-06-13 |
1265068472 | Canyonlands Natural Medicine | Naturopath | 1817 S Main St Ste 13, Salt Lake City, UT 84115-7051 | 2020-03-19 |
1225671175 | Joshua Hersh | Naturopath | 6360 S 3000 E Ste 325, Salt Lake City, UT 84121-6932 | 2019-10-23 |
Find all providers in SALT LAKE CITY |
City | SALT LAKE CITY |
Zip Code | 84108 |
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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.