PROVIDENTIAL BBA OPERATING LP
NPI 1376325001
Nurse Practitioner in Bountiful, UT

Q: What is Providential Bba Operating LP's NPI number?

The NPI number for Providential Bba Operating LP is 1376325001. It was assigned to this organization in the NPPES registry on October 17, 2023. The provider is doing business as SDCH Physician Group.

Q: What is Providential Bba Operating LP's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since October 17, 2023

401 S 400 E, BOUNTIFUL, UT 84010(801) 397-8145(201) 294-5877 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Providential Bba Operating Lp NPPES

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

PROVIDENTIAL BBA OPERATING LP (NPI 1376325001), doing business as Sdch Physician Group, is a healthcare organization registered as a nurse practitioner in Bountiful, Utah and active in the NPI registry since October 2023. The organization lists Michelle Brown, Cfo, as its authorized official.

NPPES Registry Identity

NPI1376325001

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NamePROVIDENTIAL BBA OPERATING LP

Location Address401 S 400 EBountiful, UT 84010-4933

Mailing Address481 S 400 EBountiful, UT 84010-4933 · (801) 397-8145 · Fax (801) 294-5877

Phone(801) 397-8145

Fax(201) 294-5877

Organization SubpartNo

Authorized OfficialMichelle BrownCfo · (801) 397-8145

Enumeration DateOctober 17, 2023

NPPES CertifiedOctober 16, 2023

✔ NPI 1376325001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X

Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X

401 S 400 E, Bountiful, UT 84010

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Other Names 1

Doing Business AsSdch Physician Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

MARGO EVANS TRS CTRS

Recreation Therapist

401 S 400 E
BOUNTIFUL, UT 84010

Davis County (801) 397-8150

ESTHER JULIENE GRANDY TRS, CTRS

Recreation Therapist

401 S 400 E
BOUNTIFUL, UT 84010

Davis County (801) 295-2361

TYLER ASHTON BRIDGEWATER FNP-C

Nurse Practitioner (Family)

401 S 400 E
BOUNTIFUL, UT 84010

Davis County (801) 295-2361

PROVIDENTIAL BBA OPERATING LP

Home Health

401 S 400 E
BOUNTIFUL, UT 84010

Davis County (801) 295-2361

MISS BEVERLY LOUISE HOMER MS CCC SLP

Speech-Language Pathologist

401 S 400 E, BEVERLY HOMER MOUNTAIN LAND REHABILITATION
BOUNTIFUL, UT 84010

Davis County (801) 397-8151

MR. JAY D PARKER OTR L

Occupational Therapist

401 S 400 E
BOUNTIFUL, UT 84010

Davis County (801) 397-8151

ELLISON M KRUCKENBERG COTA/L

Occupational Therapy Assistant

401 S 400 E
BOUNTIFUL, UT 84010

Davis County (801) 295-2361

DAYNA EPPERSON OTR/L

Occupational Therapist

401 S 400 E
BOUNTIFUL, UT 84010

Davis County (801) 295-2361

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 Providential Bba Operating LP's NPI number?

The NPI number for Providential Bba Operating LP is 1376325001. It was assigned to this organization in the NPPES registry on October 17, 2023. The provider is doing business as SDCH Physician Group.

Where is Providential Bba Operating LP located?

Providential Bba Operating LP is located at 401 S 400 E, Bountiful, UT 84010. The listed phone number is (801) 397-8145.

What is Providential Bba Operating LP's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Providential Bba Operating LP was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.