CARLOS A VASQUEZ (NPI# 1215376587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215376587 |
| Entity Type | Individual |
| Full Name | CARLOS A VASQUEZ |
| Credential | FNP |
| Practice Address |
6248 S Clernates Dr West Jordan UT 84081-3831 |
| Practice Telephone | 4802823358 |
| Practice Fax Number | 8019556173 |
| Mailing Telephone | 4802823358 |
| Mailing Fax Number | 8019556173 |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2013-06-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
6261157-8900 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053850750 | Carlos Jorge Vasquez Jr. | Counselor | 1235 Mchenry Ave Ste A&b, Modesto, CA 95350-5370 | 2017-02-15 |
| 1134514250 | Carlos Vasquez | Physical Therapy Assistant | 1301 E Houston St, Beeville, TX 78102-5309 | 2015-04-06 |
| 1366709156 | Carlos A Vasquez | Nurse Anesthetist, Certified Registered | 4150 V St, Pssb Ste 1200 Ucdmc Dept Anesthesiology and Pain Med, Sacramento, CA 95817-1460 | 2012-04-18 |
| 1841479839 | Carlos Vasquez | Physician Assistant | 2200 W 3rd St, #400, Los Angeles, CA 90057-1932 | 2007-10-26 |
| 1053440719 | Carlos N Vasquez | Internal Medicine | 11921 Bournefield Way Ste B, Silver Spring, MD 20904-7815 | 2007-03-05 |
| 1689645780 | Carlos Arturo Vasquez | Internal Medicine | 2101 Jacob St, Ste 302, Wheeling, WV 26003 | 2006-01-28 |
| Street Address |
6248 S CLERNATES DR |
| City | WEST JORDAN |
| State | UT |
| Zip Code | 84081-3831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659731453 | Tiffany Mcgilvery | Social Worker | 6172 W 7000 S, West Jordan, UT 84081 | 2016-03-07 |
| 1356767388 | Ken C Mccauley | Counselor | 5454 Balsa Avenue, West Jordan, UT 84081 | 2014-03-14 |
| 1780007641 | Deborah Harris | Social Worker | 8151 S 5940 W, West Jordan, UT 84081 | 2014-01-29 |
| 1396081303 | Tamra Monique Parko | Social Worker | 5134 Ticklegrass Rd, West Jordan, UT 84081 | 2012-12-19 |
| 1144579616 | Intermountain Healthcare | General Acute Care Hospital | 5572 West Slate Canyon Drive, Apt B-101, West Jordan, UT 84081 | 2012-08-30 |
| 1366763377 | Michael Jones | Behavioral Analyst | 5500 S Bagley Rd, Bldg J, West Jordan, UT 84081 | 2010-06-14 |
| 1073018545 | Kendra Johnson | Technician, Pathology | 3809 W 6200 S, Kearns, UT 84081 | 2018-03-27 |
| 1881080240 | Jeffrey Arbez Zinger | Counselor | 8235 S Spratling Dr, West Jordan, UT 84081-1733 | 2015-04-13 |
| 1356723928 | Ashley Dean Kammerman | Occupational Therapy Assistant | 5426 W Harvestmill Dr, West Jordan, UT 84081-1795 | 2015-06-19 |
| 1699231142 | Deborah Michelle Kiesewetter | Behavior Technician | 8306 S Water Oak Dr, West Jordan, UT 84081-1829 | 2019-02-20 |
| Find all providers in zip 84081 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295256543 | Jenny Louise Mckay | Nurse Practitioner | 7478 S Campus View Dr Ste 100, West Jordan, UT 84084-1968 | 2017-06-27 |
| 1821448226 | Lora Lynn Galloway | Nurse Practitioner | 7818 S Redwood Rd, West Jordan, UT 84088-4002 | 2016-06-16 |
| 1548557622 | Haley B Nelson | Nurse Practitioner | 7353 S 2172 W, West Jordan, UT 84084-3248 | 2011-07-08 |
| 1578883963 | Gerald Wayne Dearing | Nurse Practitioner | 2822 W 8750 S, West Jordan, UT 84088-9605 | 2010-06-08 |
| 1588823132 | Roberta Francis Anderson | Nurse Practitioner | 3065 W 8600 S, West Jordan, UT 84088-9626 | 2008-06-08 |
| 1780875435 | Randal B. Austin | Nurse Practitioner | 1561 W 7000 S Ste 200, West Jordan, UT 84084-3556 | 2007-08-07 |
| 1760697106 | Linda Renne Hensley | Nurse Practitioner | 1488 W Brigeport Way, West Jordan, UT 84084 | 2007-05-11 |
| 1568685550 | Martha Fern Southwick | Nurse Practitioner | 8541 S Redwood Rd Ste C2, West Jordan, UT 84088 | 2007-04-10 |
| 1316017627 | Jololene Allan | Nurse Practitioner | 8785 S Jordan Valley Way # 100, West Jordan, UT 84088-9772 | 2006-11-08 |
| 1619900339 | Donald R Hastie | Nurse Practitioner | 7611 Jordan Landing Blvd, 200, West Jordan, UT 84084-5610 | 2006-07-08 |
| Find all providers in WEST JORDAN | ||||
| City | WEST JORDAN |
| Zip Code | 84081 |
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| 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.