ENA C. CARDONA-MASON (NPI# 1659463404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659463404 |
Entity Type | Individual |
Full Name | ENA C. CARDONA-MASON |
Credential | N.P. |
Practice Address |
1350 N 500 E Logan UT 84341-2400 |
Mailing Address |
187 E 13th St Idaho Falls ID 83404-5305 |
Practice Telephone | 4357520422 |
Practice Fax Number | 4357921677 |
Mailing Telephone | 2084970500 |
Mailing Fax Number | 2084970505 |
Enumeration Date | 2006-09-29 |
Last Update Date | 2020-09-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
4730891-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1350 N 500 E |
City | LOGAN |
State | UT |
Zip Code | 84341-2400 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295707677 | Corey Wyn Walker | Internal Medicine | 1350 N 500 E, Logan, UT 84341-2400 | 2006-02-01 |
1790315281 | Stacy Hepner | Advanced Practice Midwife | 1350 N 500 E, Logan, UT 84341-2400 | 2020-01-23 |
1083265029 | Amanda E Stott | Family Medicine | 1350 N 500 E, Logan, UT 84341-2400 | 2019-09-20 |
1093375727 | Kristiana Hales | Pharmacist | 1350 N 500 E, Logan, UT 84341-2400 | 2019-06-14 |
1376033456 | Deven Willardson | Nurse Practitioner | 1350 N 500 E, Logan, UT 84341-2400 | 2018-05-15 |
1154826618 | Ihc Health Services Inc | Clinic/Center | 1350 N 500 E, Logan, UT 84341-2400 | 2018-03-27 |
1801303003 | Becky Jean Rasmuson | Nurse Practitioner | 1350 N 500 E, Logan, UT 84341 | 2018-01-09 |
1558722900 | Ihc Health Services Inc | Family Medicine | 1350 N 500 E, Logan, UT 84341-2400 | 2016-03-14 |
1326420639 | Brian Ralph Balls | Physical Therapy Assistant | 1350 N 500 E, Suite 120, Logan, UT 84341-2400 | 2015-06-23 |
1073994810 | Benjamin Seale | Physician Assistant | 1350 N 500 E, Logan, UT 84341-2400 | 2015-06-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538701529 | Aubrey Salmond | Registered Nurse | 500 East 1500 N, Logan, UT 84341 | 2019-10-11 |
1043702046 | Eye Pros of Logan LLC | Optometrist | 1475 N Main St Ste 103, Logan, UT 84341 | 2018-06-05 |
1275050452 | Rylie Jeanne Cook | Student in an Organized Health Care Education/Training Program | 11 Aggie Village Apt. J, Logan, UT 84341 | 2017-08-28 |
1093262156 | Jessica Lynn Mcgarry | Social Worker | 1040 N 130 W, Apt 100, Logan, UT 84341 | 2016-09-07 |
1740663566 | Paul R Gregory | Occupational Therapy Assistant | 1300 N 500 E Suite 120, Suite 120, Logan, UT 84341 | 2015-06-30 |
1851708846 | Bradley Budge | Optometrist | 535 E 1400 N Ste 130, Logan, UT 84341 | 2014-07-22 |
1386058709 | Daniel Raymond Carlson | Physician Assistant | 500 E. 1400 N., Logan, UT 84341 | 2014-06-13 |
1902220239 | Work Injury Solutions Inc. | Clinic/Center | 630 E 1400 N Ste 140, Logan, UT 84341 | 2014-02-06 |
1750627287 | Lee Martin Williams Sr. | Counselor | 186 E. 1800 N., North Logan, UT 84341 | 2013-01-03 |
1669747804 | Ronald J Payne | Internal Medicine | 1726 North 1850 East, North Logan, UT 84341 | 2012-03-21 |
Find all providers in zip 84341 |
Taxonomy Code | 363LX0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Obstetrics & Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366004244 | Brittany Elise Mccready | Nurse Practitioner | 585 N 500 W, Provo, UT 84601-1548 | 2019-07-01 |
1366003840 | Jennifer Lauren Smith | Nurse Practitioner | 585 N 500 W, Provo, UT 84601-1548 | 2019-06-25 |
1689237745 | Tiffani Jane Guymon | Nurse Practitioner | 527 W 400 N Ste 4, Orem, UT 84057-1951 | 2019-04-15 |
1437607876 | Sarah Roberts | Nurse Practitioner | 585 N 500 W, Provo, UT 84601-1548 | 2016-09-14 |
1356742233 | Jutta Deininger | Nurse Practitioner | 1950 Circle of Hope, Clinic 3a, Salt Lake City, UT 84112-5550 | 2014-09-10 |
1295166809 | Marnae Harward | Nurse Practitioner | 1140 E 3900 S, Ste 400, Salt Lake City, UT 84124-1228 | 2013-12-06 |
1508046772 | Patricia Marie James | Nurse Practitioner | 1580 W Antelope Dr, Suite 290, Layton, UT 84041-1160 | 2007-11-05 |
1821114505 | Jennifer Ann Booth | Nurse Practitioner | 920 N 500 W, Provo, UT 84604-3339 | 2007-03-22 |
1063538775 | Heidi Mcsweeney | Nurse Practitioner | 920 N 500 W, Provo, UT 84604-3339 | 2007-03-22 |
1689716888 | A. Sue Montiel | Nurse Practitioner | 24 S 1100 E, Ste 209, Salt Lake City, UT 84102-1580 | 2007-02-13 |
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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.