Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tamara Lynn Broadhead, APRN

Individual provider Family Nurse Practitioner · NPI 1124548789

Tamara Lynn Broadhead, APRN is a Nurse Practitioner in South Jordan, Utah. Qualified in 2017, 9 years ago. Practices with Optum Behavioral Care of Ohio Inc, a 67-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
9
Licensed in
UT
In the registry since
2017
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

10294 S Royal Vista Cv
South Jordan, UT 84095-3045
Phone: (817) 319-9475
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 7096258-4405 (UT)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 7096258-4405 (UT)

Record details

NPI number1124548789
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedJune 26, 2017
Last updated in NPPESSeptember 28, 2022
Certification dateSeptember 28, 2022
Mailing address10294 S Royal Vista Cv, South Jordan, UT 84095-3045

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Optum Behavioral Care Of Ohio Inc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in South Jordan