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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JEREMY BRIDGEWATERS
NPI 1356256754
Peer Specialist in Salt Lake City, UT

Active since August 18, 2026
117 W 400 S, SALT LAKE CITY, UT 84101(385) 200-0110 Get Directions Write a Review

NPPES record added: August 18, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jeremy Bridgewaters NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEREMY BRIDGEWATERS (NPI 1356256754) is an individual peer specialist in Salt Lake City, Utah and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1356256754
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJEREMY BRIDGEWATERS
Location Address117 W 400 SSalt Lake City, UT 84101-1916
Mailing Address117 W 400 SSalt Lake City, UT 84101-1916 · (385) 200-0110
Phone(385) 200-0110
Sole ProprietorYes
Enumeration DateAugust 18, 2026
NPPES CertifiedAugust 18, 2026
✔ NPI 1356256754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
117 W 400 S, Salt Lake City, UT 84101
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIRANDA LEIGH RANKIN
Community Health Worker
117 W 400 S
SALT LAKE CITY, UT 84101
Salt Lake County (801) 428-4257
DIANA RACHEL FIERRO
Community Health Worker
117 W 400 S
SALT LAKE CITY, UT 84101
Salt Lake County (801) 428-4257
KERRI ANN PAVLICA
Community Health Worker
117 W 400 S
SALT LAKE CITY, UT 84101
Salt Lake County (801) 428-4257
NICHOLAS DAVID MCCLEERY
Community Health Worker
117 W 400 S
SALT LAKE CITY, UT 84101
Salt Lake County (801) 428-4257
DELANEY TYLER BARCLAY
Community Health Worker
117 W 400 S
SALT LAKE CITY, UT 84101
Salt Lake County (801) 428-4257
RYAN KEITH HODSON
Community Health Worker
117 W 400 S
SALT LAKE CITY, UT 84101
Salt Lake County (801) 428-4257
STACEY ANN RIVERA
Community Health Worker
117 W 400 S
SALT LAKE CITY, UT 84101
Salt Lake County (801) 428-4257
JEREMY ED CHRISTENSEN
Community Health Worker
117 W 400 S
SALT LAKE CITY, UT 84101
Salt Lake County (801) 428-4257

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Bridgewaters's NPI number?

The NPI number for Jeremy Bridgewaters is 1356256754. It was assigned to this individual provider in the NPPES registry on August 18, 2026.

Where is Jeremy Bridgewaters located?

Jeremy Bridgewaters practices at 117 W 400 S, Salt Lake City, UT 84101. The listed phone number is (385) 200-0110.

What is Jeremy Bridgewaters's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jeremy Bridgewaters was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.