DEEANN CERVANTEZ (NPI# 1841707569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841707569 |
| Entity Type | Individual |
| Full Name | DEEANN CERVANTEZ |
| Credential | NP |
| Practice Address |
100 N Mario Capecchi Dr Ste 3550 Salt Lake City UT 84113-1103 |
| Practice Telephone | 8016625555 |
| Mailing Telephone | 8016625555 |
| Mailing Fax Number | 8016625547 |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2018-01-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
108619-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 2088P0231X |
Urology Specialization: Pediatric Urology |
108619-4405 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
100 N MARIO CAPECCHI DR STE 3550 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84113-1103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386111060 | Melissa Marie Dixon | Psychologist | Primary Children's Hospital Outpatient Services, 81 South Mario Capecchi Drive, Salt Lake City, UT 84113 | 2018-10-31 |
| 1366965618 | Ashley Stuart | Psychologist | 44 North Mario Capecchi Drive, Salt Lake City, UT 84113 | 2017-07-19 |
| 1487945135 | Justin C Wheeler | Pediatrics | 81 N Mario Capecchi Dr Fl 4, Salt Lake City, UT 84113 | 2011-04-29 |
| 1154612117 | Dana Boucek | Pediatrics | 100 North Mario Capecchi Dr., Primary Children's, Salt Lake City, UT 84113 | 2011-04-26 |
| 1285959502 | Anna Katherine Eyre Ermarth | Pediatrics | 81 Mario Capecchi, Salt Lake City, UT 84113 | 2010-03-30 |
| 1457682072 | Elizabeth K Cho | Nurse Practitioner | 100 North Mario Cappechi Dr., Salt Lake City, UT 84113 | 2010-01-21 |
| 1528290848 | Nancy Crandell Brown | Nurse Practitioner | 100 North Mario Cappechi Drive, Salt Lake City, UT 84113 | 2009-08-20 |
| 1679708481 | Primary Children's Medical Center | General Acute Care Hospital | 100 No. Mario Capecchi Drive, Salt Lake, UT 84113 | 2009-05-22 |
| 1467697235 | Tara Hook | Physical Therapist | 100 North Mario Capecchi Dr, Salt Lake City, UT 84113 | 2008-12-09 |
| 1144474768 | Jennifer K Workman | Pediatrics | 100 N Mario Capecchi Drive, Pediatric Crtical Care, Primary Children's Hospital, Salt Lake City, UT 84113 | 2008-11-10 |
| Find all providers in zip 84113 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962949586 | Gina Whitehead | Nurse Practitioner | 10 South 2000 East, Salt Lake City, UT 84112 | 2017-01-20 |
| 1720452782 | Jane Garff Gardiner | Nurse Practitioner | 347 N Quince St, Salt Lake City, UT 84103-1641 | 2015-11-13 |
| 1982889358 | Deborah M Lener | Nurse Practitioner | 964 Laird Ave, Salt Lake City, UT 84105-1819 | 2008-01-04 |
| 1295850626 | Stacy Ann Bond-bero | Nurse Practitioner | 4000 S 700 E Ste 10, Salt Lake City, UT 84107-2580 | 2007-03-21 |
| 1376183582 | Claire Ann Goeke | Nurse Practitioner | 295 S Chipeta Way, Salt Lake City, UT 84108-1287 | 2020-01-15 |
| 1679036263 | Katelyn Ann Newton | Nurse Practitioner | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2019-04-10 |
| 1215476197 | Stacy Madden | Nurse Practitioner | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2017-02-13 |
| 1447665484 | Anne Gallegos Harvey | Nurse Practitioner | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2014-06-28 |
| 1841628666 | Robert Sylvester | Nurse Practitioner | 1140 E 3900 S, Suite 360, Salt Lake City, UT 84124-1228 | 2013-10-15 |
| 1518218577 | Tracy D. Nichols | Nurse Practitioner | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2012-09-30 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84113 |
Please comment or provide details below to improve the information on DEEANN CERVANTEZ.
| 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.