VICTORIA SERPICO (NPI# 1104075092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104075092 |
| Entity Type | Individual |
| Full Name | VICTORIA SERPICO |
| Credential | APRN |
| Practice Address |
1950 Circle of Hope Suite Number 6500 Salt Lake City UT 84112 |
| Mailing Address |
1950 Circle of Hope Dr Rm 6500 Salt Lake City UT 84112-5500 |
| Practice Telephone | 8015812431 |
| Practice Fax Number | 8015852984 |
| Mailing Telephone | 8015812431 |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2008-09-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | 4946810-4405 | UT | Hospitals |
| Street Address |
1950 CIRCLE OF HOPE SUITE NUMBER 6500 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699724500 | Rosemary Conder | Nurse Practitioner | 1950 Circle of Hope, Clinic 3a, Salt Lake City, UT 84112-5500 | 2006-05-08 |
| 1558892968 | Jennifer Lynne Mijangos | Social Worker | 1950 Circle of Hope, Huntsman Cancer Institute, Salt Lake City, UT 84112-9460 | 2017-03-27 |
| 1952857963 | Rachel Montague | Nurse Practitioner | 1950 Circle of Hope, 505 Clinic, Salt Lake City, UT 84112-5550 | 2016-08-30 |
| 1568828002 | Tenzin Kunsang Phunrab | Nurse Practitioner | 1950 Circle of Hope, Clinic 2b, Salt Lake City, UT 84112-5550 | 2016-01-13 |
| 1164891677 | Breanne Eddington | Physician Assistant | 1950 Circle of Hope, Hch 4th Floor, Salt Lake City, UT 84112-5550 | 2015-09-15 |
| 1619353182 | Jaclyn Jennifer Piper-williams | Nurse Practitioner | 1950 Circle of Hope, Sos Clinic, Salt Lake City, UT 84112-5550 | 2015-08-06 |
| 1356742233 | Jutta Deininger | Nurse Practitioner | 1950 Circle of Hope, Clinic 3a, Salt Lake City, UT 84112-5550 | 2014-09-10 |
| 1679974059 | Linda Sue Johnson | Nurse Practitioner | 1950 Circle of Hope, Hoh 4th Floor, Salt Lake City, UT 84112-5550 | 2014-09-04 |
| 1952710923 | Krista Casey | Physician Assistant | 1950 Circle of Hope, Hch 4th Floor, Salt Lake City, UT 84112-5550 | 2014-08-04 |
| 1104253954 | Jennifer Smith Shaw | Nurse Practitioner | 1950 Circle of Hope, Salt Lake City, UT 84112-5550 | 2013-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484023 | Courtney Hook | Student in an Organized Health Care Education/Training Program | 1860 E 250 S Hper East, Room 208, Salt Lake City, UT 84112 | 2020-07-10 |
| 1235792839 | Dylan Lamb | Rehabilitation Practitioner | 1850 S. 260 E, Salt Lake City, UT 84112 | 2019-04-18 |
| 1740787407 | David Bradley Patch | Student in an Organized Health Care Education/Training Program | University of Utah Hospital Dental Clinic #7, 50 N. Medical Dr., Salt Lake City, UT 84112 | 2018-04-10 |
| 1962949586 | Gina Whitehead | Nurse Practitioner | 10 South 2000 East, Salt Lake City, UT 84112 | 2017-01-20 |
| 1316493117 | Dana Friske | Specialist/Technologist | 290 S 1850 E, Room 103, Salt Lake City, UT 84112 | 2016-08-31 |
| 1548612435 | Frances Millett Johnson | Nurse Practitioner | 555 South Foothill Blvd, Suite 301, Salt Lake City, UT 84112 | 2016-07-05 |
| 1679920904 | Jason Lippman | Family Medicine | 555 S. Foothill Blvd., Ste. 301, Salt Lake City, UT 84112 | 2016-05-17 |
| 1447604335 | Joseph Mcbeth | Specialist/Technologist | 580 S. Guardsman Way, Salt Lake City, UT 84112 | 2016-04-18 |
| 1104213636 | Cameron Critchfield | Student in an Organized Health Care Education/Training Program | 26 South 2000 East, Suite 5900, Salt Lake City, UT 84112 | 2015-04-22 |
| 1942697933 | Jennifer Rose | Dentist | 50 N Medical Dr, University Hospital, Salt Lake City, UT 84112 | 2015-04-17 |
| Find all providers in zip 84112 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124208343 | Gateway Aestheetic Institute& Laser Center | Special Hospital | 440 W 200 S Ste 250, Salt Lake City, UT 84101-1462 | 2007-11-05 |
| 1649470113 | New Life Centers | Special Hospital | 1255 E 3900 S Ste 300, Salt Lake City, UT 84124-1389 | 2007-07-23 |
| 1023306297 | Slc Va Medical Center | Special Hospital | 500 Foothill Drive, Salt Lake City, UT 84148 | 2011-07-21 |
| 1801181631 | University of Utah | Special Hospital | 175 N Medical Dr, Salt Lake City, UT 84132-0001 | 2011-06-09 |
| 1598801300 | Mary Lampas | Special Hospital | 1950 Circle of Hope Dr, Suite 2110, Salt Lake City, UT 84112-5500 | 2007-01-29 |
| 1538271861 | Christopher Burr Dechet | Special Hospital | 1950 Circle of Hope Dr, Rm 6755, Salt Lake City, UT 84112-5500 | 2006-08-31 |
| 1568494060 | Va Health Care System, Salt Lake City, Ut | Special Hospital | 500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093189839 | St. George Detox Center LLC | Special Hospital | 120 W 1470 S Bldg B, St George, UT 84770-6798 | 2015-11-17 |
| 1831505874 | Shadow Mountain LLC. | Special Hospital | 120 W. 1470 South, Building B, St. George, UT 84770 | 2014-07-10 |
| 1063754893 | Trenton Lyle Neal | Special Hospital | 308 W 7200 S, Midvale, UT 84047-1041 | 2013-03-19 |
| 1629411020 | Valerie Price | Special Hospital | 9414 S 1335 E, Sandy, UT 84092-2947 | 2013-04-16 |
| 1780926592 | Deborah Deann Rowley | Special Hospital | 308 W 7200 S, Midvale, UT 84047-1041 | 2013-03-19 |
| 1215294228 | Hyrum John Kerbs | Special Hospital | 5848 Fashion Blvd, Murray, UT 84107-6121 | 2012-04-13 |
| 1609886126 | Ihc Health Services Inc. | Special Hospital | 5848 Fashion Blvd, Murray, UT 84107-6121 | 2006-08-08 |
| City | SALT LAKE CITY |
| Zip Code | 84112 |
Please comment or provide details below to improve the information on VICTORIA SERPICO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.