Organization Active NPI

Olympus Family Medicine

  • Family Medicine Physician
  • Salt Lake City, UT
National Provider Identifier
1053764431
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
98642974405 Issued in UT
Legal business name
OLYMPUS FAMILY MEDICINE
Practice address
4624 S Holladay Blvd Ste 100
Salt Lake City, UT 84117-7056
Phone
(801) 277-2682
Fax
(801) 277-2980
NPI assigned
Jul 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christine Krispinsky
Title
Office Manager
Phone
(801) 702-3810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 98642974405 UT Primary

Addresses

Primary practice location

4624 S Holladay Blvd Ste 100
Salt Lake City, UT 84117-7056

Mailing address

4624 S Holladay Blvd Ste 100
Salt Lake City, UT 84117-7056
Phone (801) 277-2682

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D0524274Olympus Family Medicine4624 S Holladay Blvd Suite 100, Holladay, UT 84117Provider-performed microscopyMay 31, 2027
46D2143919Olympus Family Medicine/CCT Research4624 Holladay Blvd E Suite 1, Salt Lake City, UT 84117Certificate of waiverFeb 6, 2028

National Provider Directory

National Provider Directory

Locations

4624 S Holladay Blvd
Ste 100
Salt Lake Cty, UT 84117
Phone (801) 277-2682

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1053764431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4624 S HOLLADAY BLVD STE 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841177056",
            "telephone_number": "801-277-2682",
            "fax_number": "801-277-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4624 S HOLLADAY BLVD STE 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841177056",
            "telephone_number": "801-277-2682",
            "fax_number": "801-277-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPUS FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "KRISPINSKY",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-702-3810"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "98642974405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.