BRET HAFEN (NPI# 1982060828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982060828 |
| Entity Type | Individual |
| Full Name | BRET HAFEN |
| Practice Address |
934 S Main St Layton UT 84041-7135 |
| Practice Telephone | 8017737060 |
| Mailing Telephone | 8017737060 |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2017-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
5485608-8900 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
5485608-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
934 S MAIN ST |
| City | LAYTON |
| State | UT |
| Zip Code | 84041-7135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417931296 | Julie A. Wiese | Psychiatry & Neurology | 934 S Main St, Layton, UT 84041-7135 | 2005-12-05 |
| 1831790492 | Danielle Lexus Ortega | Community Health Worker | 934 S Main St, Layton, UT 84041-7135 | 2020-11-02 |
| 1861092116 | Paula Lee Moffitt | Registered Nurse | 934 S Main St, Layton, UT 84041-7135 | 2020-10-27 |
| 1235737693 | Shelby Close | Community Health Worker | 934 S Main St, Layton, UT 84041-7135 | 2020-10-16 |
| 1659979334 | Mikey Francisco Jaramillo | Community Health Worker | 934 S Main St, Layton, UT 84041-7135 | 2020-10-14 |
| 1841897436 | Jadrian Seana Mcdonough | Community Health Worker | 934 S Main St, Layton, UT 84041-7135 | 2020-10-06 |
| 1679170542 | Mara Elizabeth Jeffs | Community Health Worker | 934 S Main St, Layton, UT 84041-7135 | 2020-10-05 |
| 1194322073 | Hayden Harold Arave | Community Health Worker | 934 S Main St, Layton, UT 84041-7135 | 2020-10-05 |
| 1487251666 | Jordon Ashley Robinson | Social Worker | 934 S Main St, Layton, UT 84041-7135 | 2020-10-01 |
| 1093322778 | Makayla Marie Lee Richards | Community Health Worker | 934 S Main St, Layton, UT 84041-7135 | 2020-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499183 | Grab Healthcare, LLC | Clinic/Center | 245 E 2150 N, Suite C, Layton, UT 84041 | 2020-08-26 |
| 1154961399 | Victoria Leeann Taylor | Massage Therapist | 716 Antelope Dr, Layton, UT 84041 | 2020-01-15 |
| 1184181505 | Brian Taylor Woodbury | Occupational Therapist | 471 Heritage Park Blvd. Ste #5, Layton, UT 84041 | 2019-02-21 |
| 1740756816 | Jacob C Juarez | Physician Assistant | 2084 N. 1700 W., Suite A, Layton, UT 84041 | 2018-10-16 |
| 1134637945 | Jodi Lynn Siri | Counselor | 365 W 1550 N Ste F, Layton, UT 84041 | 2018-01-15 |
| 1083128029 | Utah Cvs Pharmacy LLC | Pharmacy | 50 South Fort Lane, Layton, UT 84041 | 2017-11-29 |
| 1376057315 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2000 W & W 1700 S Nec, Layton, UT 84041 | 2017-11-29 |
| 1912411992 | Live Strong House LLC | Counselor | 377 N. Marshall Way, Suite 1b, Layton, UT 84041 | 2017-11-28 |
| 1003326505 | Kenneth L Ernstrom | Pharmacist | 2065 N Robins Drive, Layton, UT 84041 | 2017-10-10 |
| 1356868319 | Utah Home Health and Hospice LLC | Family Medicine | 920 W Heritage Park Blvd Suite 120, Layton, UT 84041 | 2017-08-29 |
| Find all providers in zip 84041 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528414232 | Elizabeth Greene | Nurse Practitioner | 934 S Main St, Layton, UT 84041 | 2016-05-11 |
| 1417199506 | Jonathan Andrew Selden | Nurse Practitioner | 2317 N Hill Field Rd, Ste 103, Layton, UT 84041-4782 | 2009-04-03 |
| 1679777148 | Julie Krause | Nurse Practitioner | 934 S Main St, Layton, UT 84041-7135 | 2007-06-11 |
| 1669487419 | Bonnie Kilgannon | Nurse Practitioner | 2250 Robins Dr, Layton, UT 84041-1140 | 2006-07-30 |
| 1275547507 | Joel S Dario | Nurse Practitioner | 2250 Robins Dr, Layton, UT 84041-1140 | 2006-07-29 |
| 1104846781 | Heather L Bernard | Nurse Practitioner | 934 S Main St, Layton, UT 84041-7135 | 2006-07-19 |
| 1770563629 | Scott Warburton Richins | Nurse Practitioner | 934 S Main St, Layton, UT 84041-7135 | 2006-01-18 |
| 1538147418 | Mitzy D. Stewart | Nurse Practitioner | 934 S Main St, Layton, UT 84041-7135 | 2006-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114536737 | Bradley Martin | Nurse Practitioner | 31 M St Apt 110, Salt Lake City, UT 84103-3846 | 2020-07-29 |
| 1710595178 | Shannon Lee Zaryoun | Nurse Practitioner | 7970 S Grand Vista Way, Cottonwood Heights, UT 84121-5683 | 2020-07-21 |
| 1023640851 | Senior Nurse Practitioner Consultants | Nurse Practitioner | 5802 S 900 E # 3, Murray, UT 84121-1644 | 2020-02-10 |
| 1245877448 | Carla Lucile Applegate-anderson | Nurse Practitioner | 2666 South 2000 East, Suite 101, Salt Lake City, UT 84109 | 2019-12-06 |
| 1124676044 | Marie R. Hurst | Nurse Practitioner | 5974 Fashion Point Dr Ste 140, South Ogden, UT 84403-4838 | 2019-09-04 |
| 1437706058 | Austin Sumner Heaps | Nurse Practitioner | 1044 N 600 E, Morgan, UT 84050-9269 | 2019-08-19 |
| 1821565839 | Clint Lee Martineau | Nurse Practitioner | 230 N 1680 E # 1, Saint George, UT 84790-2579 | 2018-10-28 |
| 1356827505 | Ashley Smith | Nurse Practitioner | 515 N 600 E, Hyrum, UT 84319-1133 | 2018-07-11 |
| 1588176606 | Bradley Keep | Nurse Practitioner | 4610 W 9980 N, Cedar Hills, UT 84062-8728 | 2017-10-30 |
| 1023548070 | Sarah Leggett | Nurse Practitioner | 9235 S Redwood Rd Ste A, West Jordan, UT 84088-5811 | 2017-06-13 |
| Find all providers with the same taxonomy | ||||
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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.