Wasatch Primary Care PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

WASATCH PRIMARY CARE PLLC

Practice address

451 E Bishop Federal LN
Salt Lake City, UT 84115-2357

Phone

(801) 487-7557

NPI assigned

Aug 7, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Andrew Brice Heinecke, FNP-C

Title

Owner

Phone

(801) 350-1065

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565136000000",
    "number": "1003461062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6807 S 3200 W",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840841828",
            "telephone_number": "801-350-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 E BISHOP FEDERAL LN",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841152357",
            "telephone_number": "801-487-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASATCH PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-08-07",
        "status": "A",
        "authorized_official_last_name": "HEINECKE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "BRICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-350-1065",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.