Individual provider Active NPI

Kathryn A Penderghast, CBD

  • Doula
  • South Jordan, UT
National Provider Identifier
1063350288
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
License
7316 Issued in PA
Practice address
11638 S 4340 W
South Jordan, UT 84009-8102
Phone
(801) 888-0378
NPI assigned
Mar 23, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X 7316 PA Primary

Addresses

Primary practice location

11638 S 4340 W
South Jordan, UT 84009-8102

Mailing address

11638 S 4340 W
South Jordan, UT 84009-8102
Phone (801) 888-0378

Other names 1

  • Mrs. Kathryn Richardson Other name

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

LicenseStateTypeSpecialty
7316PAMDDoula

NPI Registry JSON

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

{
    "created_epoch": "1774224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1063350288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11638 S 4340 W",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840098102",
            "telephone_number": "801-888-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11638 S 4340 W",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840098102",
            "telephone_number": "801-888-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDERGHAST",
        "first_name": "KATHRYN",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "CBD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-23",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "PA",
            "license": "7316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "RICHARDSON",
            "prefix": "MRS.",
            "credential": "CBD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.