ASHLEIGH D ROUSSEAU (NPI# 1518515188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518515188 |
| Entity Type | Individual |
| Full Name | ASHLEIGH D ROUSSEAU |
| Credential | NP |
| Practice Address |
4401 Harrison Blvd Ogden UT 84403-3195 |
| Practice Telephone | 8013877150 |
| Mailing Telephone | 8013877150 |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2020-04-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
62175914405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
62175914405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
6217591 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1162 S 4575 W, Cedar City, UT 847209290 | 4355903796 | |
| 230 N 1680 E Ste E1, Saint George, UT 847902625 | 4356282500 |
| Street Address |
4401 HARRISON BLVD |
| City | OGDEN |
| State | UT |
| Zip Code | 84403-3195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538142922 | Paul S Thorpe | Pathology | 4401 Harrison Blvd, Ogden, UT 84403-3195 | 2005-11-21 |
| 1578172904 | Justin Richard Degooyer | Registered Nurse | 4401 Harrison Blvd, Ogden, UT 84403-3195 | 2020-07-31 |
| 1730707795 | Caitlin Karissa Taggart | Dietitian, Registered | 4401 Harrison Blvd, Ogden, UT 84403-3195 | 2020-07-07 |
| 1760006324 | Rachel Michelle Wright | Registered Nurse | 4401 Harrison Blvd, Ogden, UT 84403-3195 | 2020-05-29 |
| 1528688264 | Mckenna Kelly Vance | Registered Nurse | 4401 Harrison Blvd, Ogden, UT 84403-3195 | 2020-04-22 |
| 1073133252 | Carole Lomax | Dietitian, Registered | 4401 Harrison Blvd, Ogden, UT 84403-3195 | 2020-04-17 |
| 1821618000 | Tami Greaves Halford | Registered Nurse | 4401 Harrison Blvd, Ogden, UT 84403-3195 | 2020-04-17 |
| 1356988695 | Elizabeth A Hafen | Speech-Language Pathologist | 4401 Harrison Blvd, Ogden, UT 84403-3195 | 2019-12-05 |
| 1902441835 | Courtney Mcdonald | Occupational Therapist | 4401 Harrison Blvd, Ogden, UT 84403-3195 | 2019-11-14 |
| 1275178238 | Philip Hahn Gainer | Occupational Therapist | 4401 Harrison Blvd, Ogden, UT 84403-3195 | 2019-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235744632 | Megan Louise Larkins | Specialist/Technologist | 4000 Brinker Ave. The Apartments., Apartment 15, Ogden, UT 84403 | 2020-09-11 |
| 1154959062 | Joshua Clifford Hansen | Student in an Organized Health Care Education/Training Program | 4403 Harrison Boulevard, Ste A700, Ogden, UT 84403 | 2020-03-28 |
| 1346895935 | Positional Release Therapy Institute LLC | Specialist/Technologist | 1702 E. 5600 S., Ogden, UT 84403 | 2019-08-09 |
| 1841842077 | Braken Wooden | Chiropractor | 1893 Skyline Dr., Suite 204, South Ogden, UT 84403 | 2019-07-09 |
| 1023670569 | Wasatch Advanced Dental Care LLC | Dentist | 3590 Harrison Blvd Suite #1, Ogden, UT 84403 | 2019-07-05 |
| 1194237636 | Marci Niemeyer | Physician Assistant | 5929 Fashion Point Dr Ste 101, South Ogden, UT 84403 | 2017-10-24 |
| 1578081949 | Stephanie Jensen | Specialist/Technologist | 1473 36th Street, Ogden, UT 84403 | 2017-09-06 |
| 1891213385 | Forrest Sutherland | Specialist/Technologist | 1075 E 41st St., Ogden, UT 84403 | 2017-09-05 |
| 1184159022 | Nicole Lee Van Tassell | In Home Supportive Care | 1496 East 5600 South, Unit 6, Ogden, UT 84403 | 2017-04-28 |
| 1265889166 | Modern Dental Professionals Ut, PC | Dentist | 5974 S. Fashion Pointe Drive, Suite 210, South Ogden, UT 84403 | 2016-05-20 |
| Find all providers in zip 84403 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405228 | Jodi Pitt Dawson | Nurse Practitioner | 4695 Porter Ave, Ogden, UT 84403-3834 | 2020-10-19 |
| 1700275997 | Steven Eric Stammer | Nurse Practitioner | 1377 County Road 2545 E, Ogden, IL 61859-9787 | 2015-01-12 |
| 1710433602 | Terry Lynn Phillips | Nurse Practitioner | 4401 Harrison Blvd, Mckay-dee Hospital, Ogden, UT 84403-3195 | 2016-08-30 |
| 1619946605 | Marilyn Udy Cox | Nurse Practitioner | 2540 Washington Blvd, #122, Ogden, UT 84401-3122 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043851116 | Kenzlee Wooden | Nurse Practitioner | 845 S Main St Ste A7, Bountiful, UT 84010-6482 | 2019-09-30 |
| 1265090922 | Nina Davis | Nurse Practitioner | 1247 E Mockingbird Ln, Sandy, UT 84094-3118 | 2019-05-29 |
| 1023412434 | Gaylinn Breeze | Nurse Practitioner | 7093 S 2980 W, West Jordan, UT 84084-2963 | 2014-10-14 |
| 1174936140 | Elizabeth Shade Cardenas | Nurse Practitioner | 500 Foothill Drive #182h, Veterans Healthcare Administration, Salt Lake City, UT 84148 | 2014-06-08 |
| 1124449285 | Jan Clements | Nurse Practitioner | 1605 E Shadow Cv, Cottonwood Heights, UT 84121-3664 | 2013-12-16 |
| 1114289980 | Integrated Medical Services | Nurse Practitioner | 630 S. 400 E #101, St George, UT 84770 | 2012-06-08 |
| 1366737579 | Matrix Medical Network of Utah,llc | Nurse Practitioner | 2150 S 1300 E Ste 500, Salt Lake City, UT 84106-4375 | 2011-06-15 |
| 1609104553 | Denise Westover | Nurse Practitioner | 5169 S. Cottonwood St, Ste. 520, Murray, UT 84107 | 2009-12-03 |
| 1134457682 | Edith A Shepherd | Nurse Practitioner | 6923 W Long Ridge Dr, Herriman, UT 84096-3466 | 2009-11-20 |
| 1265612097 | Solo Clinical Services LLC | Nurse Practitioner | 1864 Downington Ave, Salt Lake City, UT 84108-2912 | 2007-11-09 |
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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.