KAREN S VASTARDIS (NPI# 1487643011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487643011 |
| Entity Type | Individual |
| Full Name | KAREN S VASTARDIS |
| Credential | FNP |
| Practice Address |
1159 E 12th St Ogden UT 84404-5144 |
| Mailing Address |
4650 Harrison Blvd Ogden UT 84403-4303 |
| Practice Telephone | 8014753700 |
| Practice Fax Number | 8014753701 |
| Mailing Telephone | 8014753000 |
| Mailing Fax Number | 8014753414 |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2013-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 344892-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1159 E 12TH ST |
| City | OGDEN |
| State | UT |
| Zip Code | 84404-5144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710974381 | Mindy M Boehm | Pediatrics | 1159 E 12th St, Ogden, UT 84404-5144 | 2005-09-29 |
| 1396734919 | Catherine L Ortega | Physician Assistant | 1159 E 12th St, Ogden, UT 84404-5144 | 2005-10-17 |
| 1982692000 | Kimberly A Boyer | Physician Assistant | 1159 E 12th St, Ogden, UT 84404-5144 | 2005-10-12 |
| 1447248596 | Laura A Colvin | Physician Assistant | 1159 E 12th St, Ogden, UT 84404-5144 | 2005-10-12 |
| 1891782819 | J David Schmitz | Family Medicine | 1159 E 12th St, Ogden, UT 84404-5144 | 2005-10-04 |
| 1811984800 | David W Nemetz | Family Medicine | 1159 E 12th St, Ogden, UT 84404-5144 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881159648 | Bingham Marriage & Family Counseling | Counselor | 1812 W 2000 N #1, Ogden, UT 84404 | 2019-02-06 |
| 1609362094 | Hoopes Dental | Dentist | 333 2nd St. Suite 1a, Ogden, UT 84404 | 2018-07-09 |
| 1497241384 | Alysia Cohen | Specialist/Technologist | 1527 9th Street, Ogden, UT 84404 | 2018-07-03 |
| 1235648049 | Walk Perfect, Inc. | Podiatrist | 1069 S. Stewart Dr, Suite 1, Ogden, UT 84404 | 2017-09-25 |
| 1043738602 | Veronica Skidmore | Specialist/Technologist | 3848 Harrison Blvd., Ogden, UT 84404 | 2017-09-05 |
| 1134645526 | Pco-kta, LLC | Pharmacy | 3673 West 2600 North, Plain City, UT 84404 | 2017-08-17 |
| 1568899227 | Alisa Roberts | Marriage & Family Therapist | 1181 Christmas Box Lane, Ogden, UT 84404 | 2013-09-26 |
| 1366796351 | Kenneth Andrew Boothe | Chiropractor | 1920 North 250 West, Suite 24, Ogden, UT 84404 | 2012-10-30 |
| 1760730659 | Mercury Medical LLC | Durable Medical Equipment & Medical Supplies | 3385 W 2525 N, Plain City, UT 84404 | 2012-08-27 |
| 1700131471 | Tina Middleton | Massage Therapist | 1700w 2700n, # 37, Pleasant View, UT 84404 | 2012-07-19 |
| Find all providers in zip 84404 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982231312 | Jamison Rees | Nurse Practitioner | 4403 Harrison Blvd Ste 4640, Ogden, UT 84403-3304 | 2020-03-25 |
| 1912549072 | Danielle Nicole Van Komen | Nurse Practitioner | 434 E 5350 S Ste C, Ogden, UT 84405-5417 | 2019-10-10 |
| 1124530050 | Zheila R Schwartz | Nurse Practitioner | 4403 Harrison Blvd Ste 4650, Ogden, UT 84403-3294 | 2017-11-01 |
| 1144608050 | Ryan Westbroek | Nurse Practitioner | 6112 S1550 E, Ogden, UT 84405-5007 | 2015-05-12 |
| 1477983781 | Kristie Ann Nelson Palfreyman | Nurse Practitioner | 5405 S 500 E Ste 100, Ogden, UT 84405 | 2013-11-22 |
| 1487080438 | Sheryl Lee Despiegelaere | Nurse Practitioner | 3903 Harrison Blvd Ste 100, Ogden, UT 84403-2361 | 2013-09-23 |
| 1073783247 | Marinda Dawn Paskett | Nurse Practitioner | 5315 S Adams Pkwy, Ogden, UT 84405 | 2008-03-04 |
| 1780886945 | Deanna Leigh Bojanower | Nurse Practitioner | 4403 Harrison Blvd #1685, Ogden, UT 84403-3271 | 2007-06-01 |
| 1245341528 | Daneen Conley Jeppson | Nurse Practitioner | 4403 Harrison Blvd Ste 3400, Ogden, UT 84403-3281 | 2006-08-31 |
| 1285249318 | Austin R Bennion | Nurse Practitioner | 4700 Harrison Blvd, Ogden, UT 84403-4303 | 2020-09-15 |
| Find all providers in OGDEN | ||||
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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.