WASATCH PRIMARY CARE PLLC


Address: 451 E Bishop Federal Ln, Salt Lake City, UT 84115-2357
Phone: 8014877557

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 451 E BISHOP FEDERAL LN
City SALT LAKE CITY
State UT
Zip Code 84115-2357

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City SALT LAKE CITY
Zip Code 84115

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Dataset Information

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.

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