Catherine Van Tassell, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5331966-1206 Issued in UT

Practice address

631 E Browning Ave
Salt Lake City, UT 84105-2114

Phone

(801) 577-5623

NPI assigned

Sep 22, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1609325422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 E BROWNING AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052114",
            "telephone_number": "801-577-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 E BROWNING AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052114",
            "telephone_number": "801-577-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN TASSELL",
        "first_name": "CATHERINE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-22",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "5331966-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler M Van Patten
• Esme Van Pletzen, LCSW
• Erik James Van Slooten, D.C.
• Megan Sarah Van Staden
• Camden Van Tassell
• Kathryn Van Tassell
• Kathryn Leigh Van Tassell, LCSW
• Kayelynn Van Wagenen, APRN
• Kimber Tracy Van Wagoner, B.A., R.N.
• Craig Leland Vanalfen, DDS

• Medical Physician Assistant in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Medical Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.