Nathan Andrew Badell
Individual provider Active NPI Peer Specialist · South Salt Lake, UT
NPI 1295583052 · NPPES record last updated May 7, 2024
Key facts
- NPI
- 1295583052
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- License
- F24-112808 (UT)
- Practice address
- 177 W Price Ave
South Salt Lake, UT 84115-4345 - Phone
- (385) 468-4548
- NPI assigned
- May 7, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F24-112808 | UT | MD | Peer Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | F24-112808 | UT | Yes |
Addresses
Primary practice location
177 W Price Ave
South Salt Lake, UT 84115-4345
Mailing address
177 W Price Ave
South Salt Lake, UT 84115-4345
Phone (385) 468-4548
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- Aspire Addiction Recovery Centers
- Aubrey Atkinson
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- Catherine Aviles
- Richard Lee Backman
- Caprice Bailey
- Stephanie Bailey
- Julee Baird
- Kareem Balance
- Nicole Balbuena
All providers in South Salt Lake, UT · Peer Specialist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.