Kacie Dickson
Individual provider Active NPI Family Nurse Practitioner · West Haven, UT
NPI 1114840980 · NPPES record last updated Jul 30, 2026
Key facts
- NPI
- 1114840980
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 9267027-4405 (UT)
- Practice address
- 4679 W 4500 S
West Haven, UT 84401-9396 - Phone
- (435) 640-8106
- Fax
- (435) 640-8106
- NPI assigned
- Jul 30, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9267027-4405 | UT | Yes |
Addresses
Primary practice location
4679 W 4500 S
West Haven, UT 84401-9396
Mailing address
4679 W 4500 S
West Haven, UT 84401-9396
Other providers in West Haven, UT
- Cody Morgan Medical LLC
- Tyler Combe
- Caron Jane Cordes
- Kristi Daniels
- Charity Sue Davis
- Mikayla Ray Drago
- Elizabeth Embury
- Jennifer Diane Fanelli
- Dawn M Fielding
- Amy Jo Fowers
All providers in West Haven, UT · Family Nurse Practitioner in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.