KELLIE M MCFALL (NPI# 1750467155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750467155 |
| Entity Type | Individual |
| Full Name | KELLIE M MCFALL |
| Credential | APRN |
| Practice Address |
11383 S Portabello Rd South Jordan UT 84095 |
| Mailing Address |
Po Box 1009 Riverton UT 84065-1009 |
| Practice Telephone | 8015618398 |
| Practice Fax Number | 8013020645 |
| Mailing Telephone | 8015618398 |
| Mailing Fax Number | 8013020645 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2009-11-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 322464-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 1750467155 | 05 |
| Street Address |
11383 S PORTABELLO RD |
| City | SOUTH JORDAN |
| State | UT |
| Zip Code | 84095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033745393 | Beverly Laraine Williams | Social Worker | 11260 S River Heights Drive, South Jordan, UT 84095 | 2020-03-19 |
| 1265902902 | Sarah Richele Kelley | Specialist/Technologist | 10236 Alder Grovey Way, South Jordan, UT 84095 | 2018-11-26 |
| 1326528837 | Kristi Couse | Massage Therapist | 10679 S 2200 W Apt 2, South Jordan, UT 84095 | 2018-08-15 |
| 1821516063 | River Crossing Dental Professional Corporation | Clinic/Center | 12427 South 4000 West, Suite #200, Riverton, UT 84095 | 2017-09-08 |
| 1245755719 | Staci Stout | Dental Hygienist | 3113 W Swiss Pass Cir, South Jordan, UT 84095 | 2017-08-07 |
| 1437698750 | Ryan Sears | Dentist | 10894 So. River Front Parkway, South Jordan, UT 84095 | 2017-02-20 |
| 1366989931 | Ultimate Sports Regenerative Medicine | Chiropractor | 1098 W. South Jordan Pkwy, Suite 101, South Jordan, UT 84095 | 2017-01-20 |
| 1306393889 | Tal Quirl | Optometrist | 3571 W. 10400 S., South Jordan, UT 84095 | 2016-09-01 |
| 1023562667 | Sevon Taroian | Social Worker | 11260 River Heights Drive, South Jordan, UT 84095 | 2016-08-11 |
| 1952762932 | Megan Buckley | Developmental Therapist | 881 Baxter Drive, Ste 100, South Jordan, UT 84095 | 2016-03-17 |
| Find all providers in zip 84095 | ||||
| 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 |
|---|---|---|---|---|
| 1538481080 | Kdm Health Services, Inc. | Nurse Practitioner | 11383 Portobello Rd, South Jordan, UT 84095-7974 | 2010-02-25 |
| 1346271798 | Stacy K Robison | Nurse Practitioner | 1258 W South Jordan Pkwy Ste 202, South Jordan, UT 84095-4712 | 2006-07-05 |
| 1275175176 | Laura Rice Kenney | Nurse Practitioner | 5126 W Daybreak Pkwy, South Jordan, UT 84009-5994 | 2019-10-11 |
| 1801333414 | Brent William Klev | Nurse Practitioner | 5126 W Daybreak Pkwy, South Jordan, UT 84009-5994 | 2017-01-21 |
| 1780709543 | Kimberly Palmer Dumas | Nurse Practitioner | 11520 S Redwood Rd, South Jordan, UT 84095-7805 | 2007-03-20 |
| 1902910011 | Karen Kim Winegar | Nurse Practitioner | 11444 S Redwood Rd, South Jordan, UT 84095-7803 | 2006-08-18 |
| 1841257896 | Caroleen Johnson | Nurse Practitioner | 3556 W 9800 S, #101, South Jordan, UT 84095-3211 | 2006-04-26 |
| 1063478436 | Vilate M Thur | Nurse Practitioner | 3556 W 9800 S, #101, South Jordan, UT 84095-3211 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787458 | Aspen Family Medicine Pllc | Nurse Practitioner | 36 N 1100 E # 36c, American Fork, UT 84003-2912 | 2020-10-14 |
| 1104433606 | Amy Lynn Dalton | Nurse Practitioner | 530 E 700 S, Orem, UT 84097-6340 | 2020-09-28 |
| 1497361224 | Gavin Woods | Nurse Practitioner | 1961 E Severn Cir, Holladay, UT 84124-1668 | 2020-09-17 |
| 1265045058 | Mary Cole | Nurse Practitioner | 512 E 200 N, Bountiful, UT 84010-3560 | 2020-08-31 |
| 1750993341 | Allyson Roberts | Nurse Practitioner | 12257 S Business Park Dr, Draper, UT 84020-8126 | 2020-08-17 |
| 1477162295 | Mary Kathryn Ann Larson | Nurse Practitioner | 976 S 1925 W, Orem, UT 84059-2306 | 2020-07-28 |
| 1952929358 | Jamee Schelin | Nurse Practitioner | 252 W Colorado Dr, Midvale, UT 84047-7350 | 2020-07-12 |
| 1619594371 | Aubrie Nicole Carter | Nurse Practitioner | 122 E 1700 S Bldg 3, Provo, UT 84606-5644 | 2020-06-29 |
| 1225657117 | Laura Elizabeth Johnson | Nurse Practitioner | 3659 S 2245 E, Salt Lake Cty, UT 84109-2943 | 2020-04-11 |
| 1982231312 | Jamison Rees | Nurse Practitioner | 4403 Harrison Blvd Ste 4640, Ogden, UT 84403-3304 | 2020-03-25 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH JORDAN |
| Zip Code | 84095 |
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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.