WASATCH PRIMARY CARE PLLC (NPI# 1003461062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003461062 |
Entity Type | Organization |
Organization Name | WASATCH PRIMARY CARE PLLC |
Practice Address |
451 E Bishop Federal Ln Salt Lake City UT 84115-2357 |
Mailing Address |
6807 S 3200 W West Jordan UT 84084-1828 |
Practice Telephone | 8014877557 |
Mailing Telephone | 8013501065 |
Enumeration Date | 2019-08-07 |
Last Update Date | 2019-08-07 |
Authorized Official Name | ANDREW BRICE HEINECKE (OWNER) |
Authorized Official Telephone | 8013501065 |
Authorized Official Credential | FNP-C |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
451 E BISHOP FEDERAL LN |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84115-2357 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558484808 | Cynthia Ann Newby | Nurse Practitioner | 451 E Bishop Federal Ln, Salt Lake City, UT 84115-2357 | 2007-04-09 |
1619599503 | Successor Healthcare LLC | Assisted Living Facility | 451 E Bishop Federal Ln, Salt Lake City, UT 84115-2357 | 2020-05-13 |
1750902037 | Caroline Ann Usher | Speech-Language Pathologist | 451 E Bishop Federal Ln, Salt Lake City, UT 84115-2357 | 2020-04-28 |
1366927568 | Kelsey Martindale | Physical Therapist | 451 E Bishop Federal Ln, Salt Lake City, UT 84115-2357 | 2018-10-03 |
1285125500 | Haylee Shay Rollins | Occupational Therapy Assistant | 451 E Bishop Federal Ln, Salt Lake City, UT 84115-2357 | 2018-05-22 |
1730670084 | Tyler James Mears | Occupational Therapist | 451 E Bishop Federal Ln, Salt Lake City, UT 84115-2357 | 2018-05-22 |
1124516711 | Dimpleben Nikum Patel | Physical Therapist | 451 E Bishop Federal Ln, Salt Lake City, UT 84115-2357 | 2018-04-29 |
1396232732 | Heather Patricia Robertson | Physical Therapy Assistant | 451 E Bishop Federal Ln, Salt Lake City, UT 84115-2357 | 2018-04-20 |
1003303694 | Kyle Fairchild | Occupational Therapist | 451 E Bishop Federal Ln, Salt Lake City, UT 84115-2357 | 2018-04-18 |
1952898793 | Colter Duffy | Physical Therapy Assistant | 451 E Bishop Federal Ln, Salt Lake City, UT 84115-2357 | 2018-04-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396344198 | Shannon Ballinger | Clinic/Center | 1470 400 W, Salt Lake City, UT 84115 | 2020-10-22 |
1992346704 | Anicka Inc | Clinic/Center | 3195 South Main St, Ste 260, South Salt Lake, UT 84115 | 2019-10-02 |
1083177505 | Vitor Gabriel Giuliani Alcantara Carioca | Specialist/Technologist | 1850 South Campus Drive, Salt Lake City, UT 84115 | 2019-04-11 |
1427528371 | Samuel James Leonhart | Behavior Technician | 354 East Coatsville Drive, Salt Lake City, UT 84115 | 2018-12-04 |
1093228645 | Eco Pharmacy LLC | Pharmacy | 3702 S State Street Suite 115, South Salt Lake City, UT 84115 | 2017-11-06 |
1568973055 | Eco Apothecary LLC | Pharmacy | 3701 S State Street Suite 114, South Salt Lake City, UT 84115 | 2017-10-24 |
1548780455 | Kelly Lund | Case Manager/Care Coordinator | 447 W. Bearcat Dr., Salt Lake City, UT 84115 | 2017-06-21 |
1104271238 | The Church of Philadelphia Inc. | Community/Behavioral Health | 2358 South Main Street, Salt Lake City, UT 84115 | 2016-04-26 |
1710368626 | Jennifer Swanhild Edwards | Counselor | 140 W 2100 S Ste 244, Salt Lake City, UT 84115 | 2015-06-16 |
1508247065 | John Mcguire | Health Educator | 1370 S. West Temple, Salt Lake City, UT 84115 | 2015-06-10 |
Find all providers in zip 84115 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982204590 | Gabrielle Sleater Lewis | Nurse Practitioner | 2905 S Mcclelland St, Salt Lake City, UT 84106-2125 | 2020-11-01 |
1962019596 | Freya Kristen Landesman | Nurse Practitioner | 60 E South Temple Ste 300, Salt Lake City, UT 84111-1041 | 2020-09-28 |
1568075604 | Michelle L Davis | Nurse Practitioner | 24 S 1100 E Ste 305, Salt Lake City, UT 84102-4500 | 2020-08-28 |
1518583988 | Melanie Elise Harris | Nurse Practitioner | 1250 E 3900 S Ste 301, Salt Lake City, UT 84124-1350 | 2020-06-22 |
1295359651 | Julie Nielsen | Nurse Practitioner | 1170 E Westminster Ave Apt C, Salt Lake City, UT 84105-3514 | 2020-06-02 |
1770112138 | Justin Henderson | Nurse Practitioner | 3851 S Birch Dr, Salt Lake City, UT 84109-3742 | 2020-04-07 |
1346885845 | Anita Hui Lucente | Nurse Practitioner | 1111 E Brickyard Rd, Salt Lake City, UT 84106-2560 | 2019-11-08 |
1841844057 | Mayra Ibeth Vences | Nurse Practitioner | 1146 N Antilles Dr, Salt Lake City, UT 84116-4656 | 2019-07-25 |
1710549928 | Jenny Farley Mason | Nurse Practitioner | 4179 S Monarch Way, Salt Lake City, UT 84124-3168 | 2019-07-08 |
1144889940 | Amy Jackson Gilbert | Nurse Practitioner | 1950 Circle of Hope Dr Rm 4146, Salt Lake City, UT 84112-5500 | 2019-06-06 |
Find all providers in SALT LAKE CITY |
City | SALT LAKE CITY |
Zip Code | 84115 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.