Individual provider Active NPI

Maria Fernanda Rubilar Vasquez, STUDENT

  • Registered Nurse
  • Bountiful, UT
National Provider Identifier
1679466650
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
12947385-3102 Issued in UT
Practice address
1840 S 200 E
Bountiful, UT 84010-5403
Phone
(385) 231-6213
NPI assigned
May 30, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 12947385-3102 UT Primary

Addresses

Primary practice location

1840 S 200 E
Bountiful, UT 84010-5403

Mailing address

10 S 2000 E
Salt Lake City, UT 84112-5880
Phone (801) 581-3414

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12947385-3102UTMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1679466650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 S 2000 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841125880",
            "telephone_number": "801-581-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 S 200 E",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840105403",
            "telephone_number": "385-231-6213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBILAR VASQUEZ",
        "first_name": "MARIA",
        "middle_name": "FERNANDA",
        "credential": "STUDENT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "12947385-3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bountiful, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; 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.