Individual provider Active NPI

Cynthia Phyllis Wasek

  • Nurse Practitioner
  • Salt Lake City, UT
National Provider Identifier
1952398737
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2001478900 Issued in UT
Practice address
4376 S 700 E Ste 200
Salt Lake City, UT 84107-3077
Phone
(385) 272-4292
Fax
(866) 855-3582
NPI assigned
Oct 5, 2005
Last updated
May 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2001478900 UT Primary

Addresses

Primary practice location

4376 S 700 E Ste 200
Salt Lake City, UT 84107-3077

Mailing address

2204 E 3715 S
Salt Lake City, UT 84109-3338
Phone (801) 824-2185

Other identifiers 1

IdentifierTypeStateIssuer
1952398737MedicaidUT

Other names 1

  • Cynthia P Butters Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060221000166 UT Practitioner - Nurse Practitioner 9133134901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Lotus Center IncGroup PAC ID 4284923491, 13 clinicians

Practice addresses (Care Compare)

4376 S 700
Suite 200
Salt Lake City, UT 84107-3077
Phone (385) 272-4292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2001478900UTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lotus Center Inc CurrentSince May 18, 2025 Accepting new patients
Lotus Center Inc CurrentSince Apr 4, 2016 Accepting new patients

Locations

348 E 4500 S
Ste 360
Salt Lake City, UT 84107
Phone (385) 272-4292

4376 S 700 E
Ste 200
Salt Lake City, UT 84107
Phone (385) 272-4292

Interoperability endpoints

  • Direct secure messaging: thelotuscenter.cindywasek@133578.advancedmd-direct.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1952398737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 E 3715 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841093338",
            "telephone_number": "801-824-2185",
            "fax_number": "866-855-3582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4376 S 700 E STE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841073077",
            "telephone_number": "385-272-4292",
            "fax_number": "866-855-3582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASEK",
        "first_name": "CYNTHIA",
        "middle_name": "PHYLLIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-05",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "2001478900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952398737",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "BUTTERS",
            "middle_name": "P",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.