VENICE LUCIA WILKES (NPI# 1821596073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821596073 |
| Entity Type | Individual |
| Full Name | VENICE LUCIA WILKES |
| Other Name | VENICE LUCIA LOPEZ |
| Credential | PA-C |
| Practice Address |
700 W 800 N # 220 Orem UT 84057 |
| Mailing Address |
1055 N 500 W Attn Credentialing Provo UT 84604-3305 |
| Practice Telephone | 3852031250 |
| Mailing Telephone | 8013548225 |
| Mailing Fax Number | 8014180941 |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2020-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 11159450-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 9110986 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1055 N 500 W Bldg A, Provo, UT 846043305 | 8013548225 | 8014180941 |
| 1175 E 50 S Ste 241, American Fork, UT 840032849 | 8018125033 | 8018125034 |
| 700 W 800 N # 220, Orem, UT 84057 | 3852031250 |
| Street Address |
700 W 800 N # 220 |
| City | OREM |
| State | UT |
| Zip Code | 84057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013529932 | Jessica Chang | Social Worker | 870 W, Center, UT 84057 | 2020-08-21 |
| 1750991402 | Dr. Alexander B. Larsen Dds | Dentist | 385 W. Center Street, Orem, UT 84057 | 2020-08-07 |
| 1750911996 | Joanna Ramirez | Behavioral Analyst | 1443 West 800 North #103, Orem, UT 84057 | 2020-01-15 |
| 1790321842 | Nicole Rose Mcdougal | Speech-Language Pathologist | 527 400 N, Ste 2, Orem, UT 84057 | 2019-11-25 |
| 1871151837 | Robert B Fujiki | Speech-Language Pathologist | 1935 N90 W, Orem, UT 84057 | 2019-06-04 |
| 1669965562 | Brian Quigley Inc. | Hearing Instrument Specialist | 895 West Center Street, Orem, UT 84057 | 2018-06-14 |
| 1568960250 | Catherine Collins | Nurse Practitioner | 700 W. 800 N., Suite 220, Orem, UT 84057 | 2018-01-27 |
| 1851811160 | Jessie Carlson | Behavior Technician | 475 West 260 North, Orem, UT 84057 | 2017-06-27 |
| 1588013890 | Li Ping Su | Marriage & Family Therapist | 1027 W 1033 N, S108, Orem, UT 84057 | 2016-06-07 |
| 1073930855 | Damon P. Swenson | Dentist | 1643 N. State St., Orem, UT 84057 | 2014-03-18 |
| Find all providers in zip 84057 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306462304 | Carson Homer | Physician Assistant | 1715 S 40 W, Orem, UT 84058-8409 | 2020-06-25 |
| 1891340873 | Maria Lynn Campbell | Physician Assistant | 717 N 450 E, Orem, UT 84097-4122 | 2019-08-06 |
| 1154975662 | Paloma Martinez | Physician Assistant | 892 High Country Dr, Orem, UT 84097-2369 | 2019-08-01 |
| 1386185320 | Kathleen Bentley | Physician Assistant | 1788 N State St, Orem, UT 84057-2025 | 2017-03-09 |
| 1528394459 | Jessica Jones | Physician Assistant | 1086 N 1200 W, Orem, UT 84057-2840 | 2009-10-28 |
| 1316938673 | Brian T Boden | Physician Assistant | 1975 N State St, Orem, UT 84057-2028 | 2005-11-04 |
| 1962051938 | Alexis Jenson Morgan | Physician Assistant | 1975 N State St, Orem, UT 84057-2028 | 2019-09-11 |
| 1023662400 | Adam Christopher Garrett | Physician Assistant | 96 N 400 E, Orem, UT 84097-4845 | 2019-07-24 |
| 1457829780 | Alexandra Tippetts-kottcamp | Physician Assistant | 421 N Orem Blvd, Orem, UT 84057-8813 | 2018-11-05 |
| 1780194712 | Lorraine P Brimhall | Physician Assistant | 1350 E 750 N, Orem, UT 84097-4345 | 2017-10-04 |
| Find all providers in OREM | ||||
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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.