Tamara Lynn Broadhead, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

7096258-4405 Issued in UT

Practice address

10294 S Royal Vista CV
South Jordan, UT 84095-3045

Phone

(817) 319-9475

NPI assigned

Jun 26, 2017

Last updated

Sep 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Tamara Lynn Oldroyd Former name

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Optum Behavioral Care of Ohio IncGroup PAC ID 7719325083, 67 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tamara.broadhead.1@28621.direct.athenahealth.com
• Direct secure messaging: tamara.broadhead.1@33872.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Optum Behavioral Care of Ohio, Inc

  dba Sundance Behavioral Resources of Utah

  • Counseling Psychologist
  • Murray, UT
  • NPI 1942076633
  Medicare reassignment Care Compare group NPD
• Bridgeway Integrated Healthcare Services Inc

  • Behavior Analyst
  • Taylorsville, UT
  • NPI 1104119619

  Family

  Medicare reassignment NPD
• Sundara Medical LLC

  dba Sundara MHS

  • Multi-Specialty Clinic/Center
  • Bluffdale, UT
  • NPI 1720825573

  Family

  NPD (past) Authorized official
• Sundara MHS LLC

  dba Sundara Medical

  • Multi-Specialty Clinic/Center
  • Bluffdale, UT
  • NPI 1730924580

  Psychiatric/Mental Health

  NPD (past) Authorized official
• Dudley Chiropractic & Wellness Center LC

  • Clinic/Center
  • Salt Lake City, UT
  • NPI 1760669998
  NPD
• Optum Behavioral Care of Ohio, Inc.

  • Clinical Social Worker
  • Maryland Heights, MO
  • NPI 1528945623
  NPD
• Sundance Behavioral Resources

  • Case Management Agency
  • Murray, UT
  • NPI 1417345760
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1124548789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10294 S ROYAL VISTA CV",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953045",
            "telephone_number": "817-319-9475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10294 S ROYAL VISTA CV",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953045",
            "telephone_number": "817-319-9475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROADHEAD",
        "first_name": "TAMARA",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "7096258-4405",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "7096258-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMARA",
            "last_name": "OLDROYD",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brighter Skies Services PLLC
• Brighton House Assisted Living LLC (Brighton House of South Jordan)
• Curtis Brimley, DMD, MS
• Kambrea Muhlestein Bringhurst
• Jeffrey L Broadhead, O.D.
• Jeremy John Bromley, RPH
• Aryssa Broome, RN
• Joshua Conover Brough, DPT
• Aniston Brown
• Heather Marie Brown

• Psychiatric/Mental Health Nurse Practitioner in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.