Active NPI
Kiley McMurtrey
- Speech-Language Pathologist
- Bountiful, UT
National Provider Identifier
1144902420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 13505021
- Practice address
- 280 N Main St
Bountiful, UT 84010-6136 - Phone
- (833) 577-3422
- NPI assigned
- Aug 4, 2023
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 13505021 | UT | Primary |
Addresses
Primary practice location
280 N Main St
Bountiful, UT 84010-6136
Mailing address
55 W Center St Apt 21
North Salt Lake, UT 84054-2531
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 |
|---|---|---|---|
| 13505021 | UT | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Orem Community Hospital Physicians
- Multi-Specialty Clinic/Center
- Orem, UT
- NPI 1588601124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691107200000",
"number": "1144902420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 W CENTER ST APT 21",
"city": "NORTH SALT LAKE",
"state": "UT",
"postal_code": "840542531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 N MAIN ST",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840106136",
"telephone_number": "833-577-3422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMURTREY",
"first_name": "KILEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-04",
"last_updated": "2023-08-04",
"certification_date": "2023-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "UT",
"license": "13505021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bountiful, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.