Victor Venegas

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

7689207-4405 Issued in UT

Practice address

6065 S Fashion Blvd Ste 255
Murray, UT 84107-5403

Phone

(801) 467-4210

NPI assigned

Mar 24, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Diabetes Relief Utah Ogden LLCGroup PAC ID 6709143381, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Diabetes Relief Utah Ogden LLC

  • Infusion Therapy Clinic/Center
  • Layton, UT
  • NPI 1619402799
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1114504461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 E 900 N",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840102736",
            "telephone_number": "801-831-8561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6065 S FASHION BLVD STE 255",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075403",
            "telephone_number": "801-467-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENEGAS",
        "first_name": "VICTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "7689207-4405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DONT CURRENTLY HAVE",
            "identifier": "00000",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://www.attentionclinic.com/",
            "affiliation": "N",
            "endpointDescription": "Website/EHR",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "website",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "6065 S Fashion Blvd Ste 255",
            "city": "Murray",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841075403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vantage Point Counseling Inc
• Suzanne A Vanwagoner, LCSW
• Victoria A. Vardell, MD
• Amir Siavash Varedi, MD, MPH
• Carlotta Kay Veasy, FNP-C
• Aimee Vera
• Divya Ratan Verma, MD
• Joseph Julius Vermeulen, MD
• Viridian Vess
• Veteran Therapy Network

• Nurse Practitioner in Murray, UT
• Providers in Murray, UT by specialty
• Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.