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WASATCH PRIMARY CARE PLLC
NPI 1003461062
Nurse Practitioner - Family in Salt Lake City, UT

Active since August 07, 2019
451 E BISHOP FEDERAL LN, SALT LAKE CITY, UT 84115(801) 487-7557 Get Directions Write a Review

NPPES record last updated: August 7, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wasatch Primary Care Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WASATCH PRIMARY CARE PLLC (NPI 1003461062) is a healthcare organization registered as a family in Salt Lake City, Utah and active in the NPI registry since August 2019. The organization lists Andrew Brice Heinecke, Owner, as its authorized official.

NPPES Registry Identity

NPI1003461062
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameWASATCH PRIMARY CARE PLLC
Location Address451 E BISHOP FEDERAL LNSalt Lake City, UT 84115-2357
Mailing Address6807 S 3200 WWest Jordan, UT 84084-1828 · (801) 350-1065
Phone(801) 487-7557
Organization SubpartNo
Authorized OfficialAndrew Brice HeineckeOwner · (801) 350-1065
Enumeration DateAugust 7, 2019
✔ NPI 1003461062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
451 E BISHOP FEDERAL LN, Salt Lake City, UT 84115
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KYLE FAIRCHILD MS OTR/L
Occupational Therapist
451 E BISHOP FEDERAL LN
SALT LAKE CITY, UT 84115
Salt Lake County (801) 487-7557
PAUL CLARK
Recreation Therapist
451 E BISHOP FEDERAL LN
SALT LAKE CITY, UT 84115
Salt Lake County (801) 487-7557
BEAVER VALLEY HOSPITAL
Clinic/Center (Physical Therapy)
451 E BISHOP FEDERAL LN
SALT LAKE CITY, UT 84115
Salt Lake County (801) 487-7557
RHONNA WORTHEN
Occupational Therapist
451 E BISHOP FEDERAL LN
SALT LAKE CITY, UT 84115
Salt Lake County (801) 487-7557
DIMPLEBEN NIKUM PATEL
Physical Therapist
451 E BISHOP FEDERAL LN
SALT LAKE CITY, UT 84115
Salt Lake County (801) 487-7557
MRS. MICHELLE HARDING COLTON TRT
Recreation Therapist
451 E BISHOP FEDERAL LN
SALT LAKE CITY, UT 84115
Salt Lake County (801) 487-7557
HAYLEE SHAY ROLLINS COTA
Occupational Therapy Assistant
451 E BISHOP FEDERAL LN
SALT LAKE CITY, UT 84115
Salt Lake County (801) 487-7557
KAREN SERRANO ROBLES
Recreation Therapist
451 E BISHOP FEDERAL LN
SOUTH SALT LAKE, UT 84115
Salt Lake County (801) 487-7557

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wasatch Primary Care PLLC's NPI number?

The NPI number for Wasatch Primary Care PLLC is 1003461062. It was assigned to this organization in the NPPES registry on August 7, 2019.

Where is Wasatch Primary Care PLLC located?

Wasatch Primary Care PLLC is located at 451 E Bishop Federal Ln, Salt Lake City, UT 84115. The listed phone number is (801) 487-7557.

What is Wasatch Primary Care PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Wasatch Primary Care PLLC was last updated on August 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.