MRS. ANGELA RENEE OLIVER PIQUETTE


Address: 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103
Phone: 8016624100

MRS. ANGELA RENEE OLIVER PIQUETTE (NPI# 1912428103) 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) 1912428103
Entity Type Individual
Full Name MRS. ANGELA RENEE OLIVER PIQUETTE
Credential NNP
Practice Address 100 N Mario Capecchi Dr
Salt Lake City
UT 84113-1103
Mailing Address 7974 Uw Health Ct
Middleton
WI 53562-5531
Practice Telephone 8016624100
Mailing Telephone 6088295485
Mailing Fax Number 6088330999
Enumeration Date 2017-06-28
Last Update Date 2019-12-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WN0002X Registered Nurse
Specialization: Neonatal Intensive Care
0197831 CO Nursing Service Providers
Y 363LN0005X Nurse Practitioner
Specialization: Neonatal, Critical Care
10837199-4405 UT Physician Assistants & Advanced Practice Nursing Providers
N 363LN0005X Nurse Practitioner
Specialization: Neonatal, Critical Care
7935-33 WI Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
202 S Park St, Madison, WI 537151507 7204044493

Office Location

Street Address 100 N MARIO CAPECCHI DR
City SALT LAKE CITY
State UT
Zip Code 84113-1103

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750346607 Paul Krakovitz Otolaryngology 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2006-04-20
1417565839 Gabriel Dunya Student in an Organized Health Care Education/Training Program 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2020-07-22
1588281000 Alexandra Almberg Nurse Practitioner 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2020-06-30
1538781224 Adam Hine Dentist 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2020-05-15
1790306488 Leslie Goltra Pharmacist 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2020-05-04
1194345512 Perry Alana Chapman Dietitian, Registered 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2020-04-26
1437779410 Sandra Benson Johnson Registered Nurse 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2020-04-20
1720608078 Alison Mae Armstrong Student in an Organized Health Care Education/Training Program 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2020-04-16
1295354850 Katie Lynn Lahue Music Therapist 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2020-04-14
1790314144 Danielle Armstrong Registered Nurse 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2020-04-07
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LN0005X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Neonatal, Critical Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194242925 Jeanette Louise Seidel Nurse Practitioner 50 N Medical Dr Bldg 525, Salt Lake City, UT 84132-0001 2017-08-23
1598313603 Natalie Marie Collier Nurse Practitioner 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2019-09-01
1386291649 Anjeanette Newton Nurse Practitioner 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2019-08-21
1952957607 Allison Kendall Nurse Practitioner 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2019-08-16
1861047334 Elizabeth Anne Elliott Nurse Practitioner 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2019-08-01
1528524030 Jason Welch Egan Nurse Practitioner 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2019-02-20
1649757089 Krista Schulte Nurse Practitioner 50 N Medical Dr, Salt Lake City, UT 84132-0001 2018-07-27
1366964140 Kimberlee Brooks Chenoweth Nurse Practitioner 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2017-07-12
1568907418 Susan Sieg Nurse Practitioner 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2017-01-02
1346616604 Kendra Broussard Nurse Practitioner 50 N Medical Dr, Nicu, Salt Lake City, UT 84132-0001 2015-08-20
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Competitor

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City SALT LAKE CITY
Zip Code 84113

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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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