Individual provider Active NPI

Kenna Mills, M.S., SLPCF

  • Speech-Language Pathologist
  • Lehi, UT
National Provider Identifier
1164995478
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
10970799-4104 Issued in UT
Practice address
3000 N Triumph Blvd Ste 310
Lehi, UT 84043-4999
Phone
(801) 766-2088
NPI assigned
Jan 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 10970799-4104 UT Primary

Addresses

Primary practice location

3000 N Triumph Blvd Ste 310
Lehi, UT 84043-4999

Mailing address

3000 N Triumph Blvd Ste 310
Lehi, UT 84043-4999
Phone (801) 766-2088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200124000473 UT Practitioner - Qualified Speech Language Pathologist 9436584091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dry Creek Physical Therapy and Wellness PLLCGroup PAC ID 0042228512, 31 clinicians

Practice addresses (Care Compare)

3000 N Triumph Blvd
Suite 310
Lehi, UT 84043-7188
Phone (801) 766-4244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
10970799-4104UTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dry Creek Physical Therapy & Wellness PLLC Speech-Language Pathologist CurrentSince Nov 1, 2019 Accepting new patients

Locations

3300 N Running Creek Way
Ste B150
Lehi, UT 84043
Phone (801) 766-4244

3000 N Triumph Blvd
Ste 310
Lehi, UT 84043
Phone (801) 766-2088

3000 N Triumph Blvd
Lehi, UT 84043
Phone (385) 345-3000

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.

NPI Registry JSON

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1164995478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N TRIUMPH BLVD STE 310",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840434999",
            "telephone_number": "801-766-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N TRIUMPH BLVD STE 310",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840434999",
            "telephone_number": "801-766-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "KENNA",
        "credential": "M.S., SLPCF",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-09",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "UT",
            "license": "10970799-4104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.