Individual provider Active NPI

Camila Catherine Henriques de Aquino, MD

  • Neurology Physician
  • Salt Lake City, UT
National Provider Identifier
1245772854
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
9579315-1252 Issued in UT
Practice address
729 S Arapeen Dr
Salt Lake City, UT 84108-1218
Phone
(801) 585-9386
NPI assigned
Nov 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 9579315-1252 UT Primary

Addresses

Primary practice location

729 S Arapeen Dr
Salt Lake City, UT 84108-1218

Mailing address

2549 E Commonwealth Ave
Salt Lake City, UT 84109-1309
Phone (801) 347-3332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9579315-1252UTMDNeurology Physician

NPI Registry JSON

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1245772854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2549 E COMMONWEALTH AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841091309",
            "telephone_number": "801-347-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 S ARAPEEN DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841081218",
            "telephone_number": "801-585-9386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRIQUES DE AQUINO",
        "first_name": "CAMILA CATHERINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-14",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "UT",
            "license": "9579315-1252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; 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.