Individual provider Active NPI

Kaylea Marie Hopkins, FNP-BC

  • Nurse Practitioner
  • Eagle Mountain, UT
National Provider Identifier
1164066262
Registry record updated Jun 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2024014170 Issued in UT
Practice address
7858 N Silver Ranch Rd
Eagle Mountain, UT 84005-5854
Phone
(518) 879-5986
NPI assigned
Oct 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 11297752-3101 UT
Nurse Practitioner 363L00000X 2024014170 UT Primary

Addresses

Primary practice location

7858 N Silver Ranch Rd
Eagle Mountain, UT 84005-5854

Mailing address

7858 N Silver Ranch Rd
Eagle Mountain, UT 84005-5854

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240703002296 UT Practitioner - Nurse Practitioner 5294279063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Duke University School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diabetic Foot SolutionsGroup PAC ID 5496129017, 4 clinicians

Practice addresses (Care Compare)

157 N 400
B7
Orem, UT 84057-1909
Phone (801) 797-0097

Hospital & facility affiliations

  • Orem Community Hospital Hospital, Orem, UT, CCN 460043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11297752-3101UTMDLicensed Practical Nurse
2024014170UTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetic Foot Solutions Nurse Practitioner CurrentSince Jul 1, 2024 Accepting new patients

Locations

157 N 400 W
#B7
Orem, UT 84057
Phone (801) 226-2421

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717286400000",
    "number": "1164066262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7858 N SILVER RANCH RD",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840055854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7858 N SILVER RANCH RD",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840055854",
            "telephone_number": "518-879-5986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPKINS",
        "first_name": "KAYLEA",
        "middle_name": "MARIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-31",
        "last_updated": "2024-06-02",
        "certification_date": "2024-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "UT",
            "license": "11297752-3101",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "2024014170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Mountain, UT

Sources for this page

Verify at the official NPI Registry.