Active NPI
Kaylee Mund
- Registered Nurse
- South Jordan, UT
National Provider Identifier
1033080262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 1585744
- Practice address
- 10897 S River Front Pkwy Ste 300
South Jordan, UT 84095-5626 - Phone
- (952) 484-0334
- NPI assigned
- Sep 12, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1585744 | MN | Primary |
Addresses
Primary practice location
10897 S River Front Pkwy Ste 300
South Jordan, UT 84095-5626
Mailing address
10897 S River Front Pkwy Ste 300
South Jordan, UT 84095-5626
Phone (952) 484-0334
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1585744 | MN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757635200000",
"number": "1033080262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10897 S RIVER FRONT PKWY STE 300",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840955626",
"telephone_number": "952-484-0334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10897 S RIVER FRONT PKWY STE 300",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840955626",
"telephone_number": "952-484-0334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUND",
"first_name": "KAYLEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-12",
"last_updated": "2025-09-12",
"certification_date": "2025-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "1585744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.