SALLY J BRUSH (NPI# 1952318651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952318651 |
| Entity Type | Individual |
| Full Name | SALLY J BRUSH |
| Credential | APRN |
| Practice Address |
400 C St Salt Lake City UT 84143-1005 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 8014085319 |
| Mailing Telephone | 8014085319 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2010-11-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0853054405 | UT | Physician Assistants & Advanced Practice Nursing 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 | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204590 | Gabrielle Sleater Lewis | Nurse Practitioner | 2905 S Mcclelland St, Salt Lake City, UT 84106-2125 | 2020-11-01 |
| 1962019596 | Freya Kristen Landesman | Nurse Practitioner | 60 E South Temple Ste 300, Salt Lake City, UT 84111-1041 | 2020-09-28 |
| 1568075604 | Michelle L Davis | Nurse Practitioner | 24 S 1100 E Ste 305, Salt Lake City, UT 84102-4500 | 2020-08-28 |
| 1518583988 | Melanie Elise Harris | Nurse Practitioner | 1250 E 3900 S Ste 301, Salt Lake City, UT 84124-1350 | 2020-06-22 |
| 1295359651 | Julie Nielsen | Nurse Practitioner | 1170 E Westminster Ave Apt C, Salt Lake City, UT 84105-3514 | 2020-06-02 |
| 1770112138 | Justin Henderson | Nurse Practitioner | 3851 S Birch Dr, Salt Lake City, UT 84109-3742 | 2020-04-07 |
| 1346885845 | Anita Hui Lucente | Nurse Practitioner | 1111 E Brickyard Rd, Salt Lake City, UT 84106-2560 | 2019-11-08 |
| 1841844057 | Mayra Ibeth Vences | Nurse Practitioner | 1146 N Antilles Dr, Salt Lake City, UT 84116-4656 | 2019-07-25 |
| 1710549928 | Jenny Farley Mason | Nurse Practitioner | 4179 S Monarch Way, Salt Lake City, UT 84124-3168 | 2019-07-08 |
| 1144889940 | Amy Jackson Gilbert | Nurse Practitioner | 1950 Circle of Hope Dr Rm 4146, Salt Lake City, UT 84112-5500 | 2019-06-06 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84143 |
Please comment or provide details below to improve the information on SALLY J BRUSH.
| 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.