SUZANNE BALLINGHAM (NPI# 1962522573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962522573 |
| Entity Type | Individual |
| Full Name | SUZANNE BALLINGHAM |
| Credential | F.N.P. |
| Practice Address |
3955 Harrison Blvd L-1 Ogden UT 84403-2313 |
| Practice Telephone | 8016211701 |
| Practice Fax Number | 8013939411 |
| Mailing Telephone | 8016211701 |
| Mailing Fax Number | 8013939411 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 2181564405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3955 HARRISON BLVD L-1 |
| City | OGDEN |
| State | UT |
| Zip Code | 84403-2313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487652632 | Terry D Clawson | Specialist | 3955 Harrison Blvd, Suite U7, Ogden, UT 84403-2313 | 2005-07-12 |
| 1730358573 | Stewart E. Barlow Md PC | Otolaryngology | 3955 Harrison Blvd, Ste U6, Ogden, UT 84403-2313 | 2008-02-26 |
| 1942481338 | Ear Technology Inc. | Specialist | 3955 Harrison Blvd, Suite U7, Ogden, UT 84403-2313 | 2007-11-14 |
| 1366650624 | Diabetes Specialty Center LLC | Durable Medical Equipment & Medical Supplies | 3955 Harrison Blvd, Ogden, UT 84403-2313 | 2007-05-18 |
| 1326166067 | Pediatric Care of Ogden | Pediatrics | 3955 Harrison Blvd, L-1, Ogden, UT 84403-2313 | 2007-03-27 |
| 1164540811 | Kathryn Money | Nurse Practitioner | 3955 Harrison Blvd, L-1, Ogden, UT 84403-2313 | 2007-03-27 |
| 1134217649 | Donald F Watts | Pediatrics | 3955 Harrison Blvd, L-1, Ogden, UT 84403-2313 | 2006-10-10 |
| 1144313438 | Julie Lin Berry | Pediatrics | 3955 Harrison Blvd, L-1, Ogden, UT 84403-2313 | 2006-10-01 |
| 1962595256 | Anne G Baranko | Pediatrics | 3955 Harrison Blvd, L-1, Ogden, UT 84403-2313 | 2006-10-01 |
| 1407949795 | Charlene G Clawson | Pediatrics | 3955 Harrison Blvd, L-1, Ogden, UT 84403-2313 | 2006-10-01 |
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| 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 |
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| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982231312 | Jamison Rees | Nurse Practitioner | 4403 Harrison Blvd Ste 4640, Ogden, UT 84403-3304 | 2020-03-25 |
| 1912549072 | Danielle Nicole Van Komen | Nurse Practitioner | 434 E 5350 S Ste C, Ogden, UT 84405-5417 | 2019-10-10 |
| 1124530050 | Zheila R Schwartz | Nurse Practitioner | 4403 Harrison Blvd Ste 4650, Ogden, UT 84403-3294 | 2017-11-01 |
| 1144608050 | Ryan Westbroek | Nurse Practitioner | 6112 S1550 E, Ogden, UT 84405-5007 | 2015-05-12 |
| 1477983781 | Kristie Ann Nelson Palfreyman | Nurse Practitioner | 5405 S 500 E Ste 100, Ogden, UT 84405 | 2013-11-22 |
| 1487080438 | Sheryl Lee Despiegelaere | Nurse Practitioner | 3903 Harrison Blvd Ste 100, Ogden, UT 84403-2361 | 2013-09-23 |
| 1073783247 | Marinda Dawn Paskett | Nurse Practitioner | 5315 S Adams Pkwy, Ogden, UT 84405 | 2008-03-04 |
| 1780886945 | Deanna Leigh Bojanower | Nurse Practitioner | 4403 Harrison Blvd #1685, Ogden, UT 84403-3271 | 2007-06-01 |
| 1245341528 | Daneen Conley Jeppson | Nurse Practitioner | 4403 Harrison Blvd Ste 3400, Ogden, UT 84403-3281 | 2006-08-31 |
| 1285249318 | Austin R Bennion | Nurse Practitioner | 4700 Harrison Blvd, Ogden, UT 84403-4303 | 2020-09-15 |
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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.