BRANNEN WINN (NPI# 1962703264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962703264 |
Entity Type | Individual |
Full Name | BRANNEN WINN |
Practice Address |
10920 River Front Pkwy South Jordan UT 84095-3538 |
Mailing Address |
6917 Well Wood Rd Apt 30c Midvale UT 84047-4058 |
Practice Telephone | 8014003535 |
Enumeration Date | 2010-11-03 |
Last Update Date | 2010-11-03 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | 7126638-1702 | UT | Student, Health Care |
Street Address |
10920 RIVER FRONT PKWY |
City | SOUTH JORDAN |
State | UT |
Zip Code | 84095-3538 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164587796 | Kenneth Arthur King | Dentist | 10920 River Front Pkwy, Roseman University of Health Sciences, Codm, South Jordan, UT 84095-3538 | 2006-12-26 |
1689948440 | Elizabeth Sebranek Evans | Pharmacist | 10920 River Front Pkwy, South Jordan, UT 84095-3538 | 2012-02-25 |
1578864369 | Carlos Augusto Mijares | Student in an Organized Health Care Education/Training Program | 10920 River Front Pkwy, South Jordan, UT 84095-3538 | 2010-11-09 |
1942517792 | Emily Ann Bates | Student in an Organized Health Care Education/Training Program | 10920 River Front Pkwy, South Jordan, UT 84095-3538 | 2010-08-31 |
1942412523 | Llewellyn Powell | Dentist | 10920 River Front Pkwy, South Jordan, UT 84095-3538 | 2007-05-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033745393 | Beverly Laraine Williams | Social Worker | 11260 S River Heights Drive, South Jordan, UT 84095 | 2020-03-19 |
1265902902 | Sarah Richele Kelley | Specialist/Technologist | 10236 Alder Grovey Way, South Jordan, UT 84095 | 2018-11-26 |
1326528837 | Kristi Couse | Massage Therapist | 10679 S 2200 W Apt 2, South Jordan, UT 84095 | 2018-08-15 |
1821516063 | River Crossing Dental Professional Corporation | Clinic/Center | 12427 South 4000 West, Suite #200, Riverton, UT 84095 | 2017-09-08 |
1245755719 | Staci Stout | Dental Hygienist | 3113 W Swiss Pass Cir, South Jordan, UT 84095 | 2017-08-07 |
1437698750 | Ryan Sears | Dentist | 10894 So. River Front Parkway, South Jordan, UT 84095 | 2017-02-20 |
1366989931 | Ultimate Sports Regenerative Medicine | Chiropractor | 1098 W. South Jordan Pkwy, Suite 101, South Jordan, UT 84095 | 2017-01-20 |
1306393889 | Tal Quirl | Optometrist | 3571 W. 10400 S., South Jordan, UT 84095 | 2016-09-01 |
1023562667 | Sevon Taroian | Social Worker | 11260 River Heights Drive, South Jordan, UT 84095 | 2016-08-11 |
1952762932 | Megan Buckley | Developmental Therapist | 881 Baxter Drive, Ste 100, South Jordan, UT 84095 | 2016-03-17 |
Find all providers in zip 84095 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184249385 | Marla Morillo | Student in an Organized Health Care Education/Training Program | 3861 W Sage Rim Cv, South Jordan, UT 84009-8723 | 2020-06-12 |
1225425325 | Natalee Garcia | Student in an Organized Health Care Education/Training Program | 4499 W Knox Dr, South Jordan, UT 84095-7114 | 2015-04-16 |
1669774725 | Daniel Jacob Seiser | Student in an Organized Health Care Education/Training Program | 10920 South River Front Parkway, South Jordan, UT 84095 | 2010-11-23 |
1114544269 | Ahmad Majed Al Ashi | Student in an Organized Health Care Education/Training Program | 10920 S River Front Pkwy, South Jordan, UT 84095-3538 | 2020-07-05 |
1053930289 | Edmund Warren Gubler Jr. | Student in an Organized Health Care Education/Training Program | 10894 S River Front Pkwy, South Jordan, UT 84095-5609 | 2020-04-08 |
1770111692 | Tyson Bishop | Student in an Organized Health Care Education/Training Program | 10894 S River Front Pkwy, South Jordan, UT 84095-5609 | 2020-03-27 |
1265066971 | Weston Vern Frandsen | Student in an Organized Health Care Education/Training Program | 10894 S River Front Pkwy, South Jordan, UT 84095-5609 | 2020-03-03 |
1871159665 | Priscila Fabiana Petry Bautista | Student in an Organized Health Care Education/Training Program | 10894 S River Front Pkwy, South Jordan, UT 84095-5609 | 2019-05-16 |
1972063386 | Rebecca Lynn Spearman | Student in an Organized Health Care Education/Training Program | 10894 S River Front Pkwy, South Jordan, UT 84095-5609 | 2019-03-21 |
1285193581 | Andrea Josephine Chaveleh | Student in an Organized Health Care Education/Training Program | 10920 S River Front Pkwy, South Jordan, UT 84095-3538 | 2019-03-16 |
Find all providers in SOUTH JORDAN |
City | SOUTH JORDAN |
Zip Code | 84095 |
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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.