Active NPI
Kristi Diane Reardon, RPSGT, CCSH
- Health Educator
- Farmington, UT
National Provider Identifier
1073370821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- 1267
- Practice address
- 165 N University Ave
Farmington, UT 84025-2990 - Phone
- (801) 213-3200
- Fax
- (801) 213-6776
- NPI assigned
- Feb 28, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | 1267 | UT | Primary |
Addresses
Primary practice location
165 N University Ave
Farmington, UT 84025-2990
Mailing address
1788 N 400 W
North Ogden, UT 84025
Phone (801) 388-4445
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 |
|---|---|---|---|
| 1267 | UT | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709078400000",
"number": "1073370821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1788 N 400 W",
"city": "NORTH OGDEN",
"state": "UT",
"postal_code": "84025",
"telephone_number": "801-388-4445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 N UNIVERSITY AVE",
"city": "FARMINGTON",
"state": "UT",
"postal_code": "840252990",
"telephone_number": "801-213-3200",
"fax_number": "801-213-6776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REARDON",
"first_name": "KRISTI",
"middle_name": "DIANE",
"credential": "RPSGT, CCSH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-28",
"last_updated": "2024-02-28",
"certification_date": "2024-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "UT",
"license": "1267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.