=====================================================
General NPI Number Information
=====================================================
NPI Number | 1912863077
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KENZIE ANNE OCHOA CNA
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/01/2026
-----------------------------------------------------
Last Update Date | 01/01/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3611 S CAMINO REAL
-----------------------------------------------------
City | WASHINGTON
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84780-8396
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 435-922-3569
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3206 S 2880 E
-----------------------------------------------------
City | ST GEORGE
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84790-5020
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 435-215-6320
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 376K00000X
-----------------------------------------------------
Taxonomy Name | Nurse's Aide
-----------------------------------------------------
License Number | UTO14308501006
-----------------------------------------------------
License Number State | UT
-----------------------------------------------------