MR. EDWARD EUGENE WIRKOWSKI (NPI# 1609224047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609224047 |
| Entity Type | Individual |
| Full Name | MR. EDWARD EUGENE WIRKOWSKI |
| Credential | APRN |
| Practice Address |
500 Foothill Drive Building 3 - Ipu Salt Lake City UT 84148 |
| Mailing Address |
7345 S Claim Jumper Cir Cottonwood Heights UT 84121-4601 |
| Practice Telephone | 8015821565 |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2019-05-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 6555 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
500 FOOTHILL DRIVE BUILDING 3 - IPU |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770530800 | Gerald Saul Treiman | Surgery | 500 Foothill Drive, Salt Lake City, UT 84103 | 2006-05-27 |
| 1477107944 | Rachael Patterson | Student in an Organized Health Care Education/Training Program | 500 Foothill Drive, Salt Lake City, UT 84148 | 2019-08-01 |
| 1609433572 | Jennylynn F Palisoc | Nurse Practitioner | 500 Foothill Drive, Salt Lake City, UT 84148 | 2019-05-24 |
| 1023306297 | Slc Va Medical Center | Special Hospital | 500 Foothill Drive, Salt Lake City, UT 84148 | 2011-07-21 |
| 1831409960 | Rose Mary Jepson-sullivan | Dietitian, Registered | 500 Foothill Drive, George E. Wahlen Dept of Va Medical Ctr, Salt Lake City, UT 84148-0001 | 2010-10-07 |
| 1467781526 | Sharon Mcwilliams Laurenzi | Registered Nurse | 500 Foothill Drive, George E. Wahlen Veterans Affairs Medical Center, Salt Lake City, UT 84148 | 2009-12-18 |
| 1740386085 | Lucy Hall Leaver | Nurse Practitioner | 500 Foothill Drive, Salt Lake Va Hospital, Salt Lake City, UT 84148 | 2006-09-15 |
| 1922017888 | David Causey | Internal Medicine | 500 Foothill Drive, Salt Lake City, UT 84148-0001 | 2006-08-07 |
| 1780627455 | Patrick Joseph Miller | Psychologist | 500 Foothill Drive, Va Salt Lake City Health Care System, Salt Lake City, UT 84148 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598211799 | Jacquelyn Rae Contant | Dietitian, Registered | 500 Foothill Dr. (120), Salt Lake City, UT 84148 | 2016-08-28 |
| 1699127811 | Taylor Alford | Pharmacist | 500 Foothills Drive, Salt Lake City, UT 84148 | 2016-07-12 |
| 1356792162 | Sarah Hummel | Genetic Counselor, MS | 500 Foothill Drive, Sarah Hummel, Va Salt Lake City, Genomic Medicine (10p4e), Salt Lake City - Salt Lake, UT 84148 | 2016-06-23 |
| 1174936140 | Elizabeth Shade Cardenas | Nurse Practitioner | 500 Foothill Drive #182h, Veterans Healthcare Administration, Salt Lake City, UT 84148 | 2014-06-08 |
| 1386904043 | David Earl Moore | Specialist | 500 Foothill Blvd (research), George E. Wahlen Va Healthcare System, Salt Lake City, UT 84148 | 2012-05-29 |
| 1790059038 | Deborah Ernstein Holley Hartzfeld | Genetic Counselor, MS | 615 Arapeen Drive #212, Salt Lake City, UT 84148 | 2012-03-05 |
| 1073823720 | Diana Lynn Robbins | Social Worker | 9140 W. Post Road, Las Vegas, NV 84148 | 2010-10-15 |
| 1659534394 | Katherine Margaret Dunn | Genetic Counselor, MS | 500 Foothill Drive (151z), Salt Lake City, UT 84148 | 2008-07-02 |
| 1730381625 | Douglas James Ball | Medical Genetics | Va Salt Lake City Health Care System 10p11, Salt Lake City, UT 84148 | 2007-06-03 |
| 1245339530 | Daniel H Priestly | Radiology | 500 Foothill Dr., Salt Lake City, UT 84148 | 2006-09-22 |
| Find all providers in zip 84148 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467085019 | Hillary Price | Nurse Practitioner | 30 N Medical Drive, Salt Lake City, UT 84132-0001 | 2020-02-21 |
| 1467093328 | Tessa Rachel Curtis | Nurse Practitioner | 1160 E 3900 S Ste 3100, Salt Lake City, UT 84124-1202 | 2019-10-02 |
| 1033773544 | Marathon Health, LLC | Nurse Practitioner | 1930 S State St, Salt Lake City, UT 84115-2311 | 2019-04-30 |
| 1912488347 | Wendy Jane Frey | Nurse Practitioner | 3490 E Hermes Dr, Salt Lake City, UT 84124-3211 | 2018-08-23 |
| 1851813299 | Wayne Berg | Nurse Practitioner | 1060 E 100 S Ste 110, Salt Lake City, UT 84102-1591 | 2017-07-07 |
| 1982051785 | Patricia M Starks | Nurse Practitioner | 2678 S Glenmare St, Salt Lake City, UT 84106-3606 | 2016-05-21 |
| 1215392287 | Chad Dorman Dansie | Nurse Practitioner | 200 N Mario Capecchi Dr, Salt Lake City, UT 84132-0001 | 2015-12-17 |
| 1346642121 | Randi Moore Hollis | Nurse Practitioner | 1220 E 3900 S Ste 1f, Salt Lake City, UT 84124-1327 | 2014-09-23 |
| 1699049866 | Keri Page | Nurse Practitioner | 100 Mario Capecchi Dr Ste 2600, Salt Lake City, UT 84113-1103 | 2012-03-05 |
| 1710267877 | Trudy L. Hardin-reynolds | Nurse Practitioner | 825 Northcrest Dr, Salt Lake City, UT 84103-3320 | 2011-08-22 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84148 |
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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.