CYNTHIA PHYLLIS WASEK


Address: 348 E 4500 S, Ste 360, Salt Lake City, UT 84107-3906
Phone: 3852724292

CYNTHIA PHYLLIS WASEK (NPI# 1952398737) 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) 1952398737
Entity Type Individual
Full Name CYNTHIA PHYLLIS WASEK
Other Name CYNTHIA P BUTTERS
Practice Address 348 E 4500 S
Ste 360
Salt Lake City
UT 84107-3906
Mailing Address 2204 E 3715 S
Salt Lake City
UT 84109-3338
Practice Telephone 3852724292
Practice Fax Number 8668553582
Mailing Telephone 8018242185
Mailing Fax Number 8668553582
Enumeration Date 2005-10-05
Last Update Date 2017-04-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 2001478900 UT Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
UT 1952398737 05

Office Location

Street Address 348 E 4500 S
STE 360
City SALT LAKE CITY
State UT
Zip Code 84107-3906

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871587121 Terry Lee Schoenwald Nurse Practitioner 348 E 4500 S, #200, Salt Lake City, UT 84107-3906 2005-09-01
1023571130 Hannah Marie Zabka Social Worker 348 E 4500 S, Salt Lake City, UT 84107-3906 2019-04-08
1285140202 Jade Lubeck Social Worker 348 E 4500 S, Salt Lake City, UT 84107-3906 2017-12-28
1508395104 Yvette Sonia Gonzalez Social Worker 348 E 4500 S, Salt Lake City, UT 84107-3906 2017-06-07
1154860823 Final Kick Ankle and Foot Clinic LLC Podiatrist 348 E 4500 S, Suite 370, Salt Lake City, UT 84107-3906 2017-02-14
1992167118 Lotus Center Inc Community/Behavioral Health 348 E 4500 S, Suite 360, Salt Lake City, UT 84107-3906 2016-03-26
1205231859 Wasatch Infusion Services, Inc. Specialist 348 E 4500 S, Suite 220, Salt Lake City, UT 84107-3906 2014-10-24
1699041640 Jennifer L Oxborrow Social Worker 348 E 4500 S, Suite 360, Salt Lake City, UT 84107-3906 2012-03-23
1265719876 Shawn L Hazen Social Worker 348 E 4500 S, Ste 360, Salt Lake City, UT 84107-3906 2011-11-10
1760779193 Lindsay Kaye Manning Social Worker 348 E 4500 S, Ste 360, Salt Lake City, UT 84107 2011-07-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902410517 Brielle Nicole Poulter Student in an Organized Health Care Education/Training Program 345 East 4500 So #260, Murray, UT 84107 2020-09-01
1467016592 Ashlee Brown Social Worker C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 2019-04-24
1568940633 Samantha Duff Occupational Therapist 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 2018-08-01
1881185247 Derek John Sharp Occupational Therapist 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 2018-05-22
1093223091 Erin Nicole Hill Counselor 345 East 4500 South Suite 260, Murray, UT 84107 2018-01-12
1588171219 Nicole Danielle Jensen Counselor 345 East 4500 South, Suite 260, Murray, UT 84107 2018-01-03
1043725799 Greater Endodontics LLC Dentist 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 2017-12-04
1043739667 Karyn K Hodge Audiologist 4500 So. 777. E. Ste #110, Murray, UT 84107 2017-09-14
1912426750 Brandon C Burton Specialist/Technologist, Other Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 2017-09-13
1396261152 Megan Lehane Delano Plastic Surgery 5169 Cottonwood St Ste 420, Murray, UT 84107 2017-08-14
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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
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Competitor

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City SALT LAKE CITY
Zip Code 84107

Improve Information

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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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