Individual provider Active NPI

Kelly Anderson, DNP, APRN-CNP, FNP-C

  • Family Nurse Practitioner
  • Salt Lake City, UT
National Provider Identifier
1184481905
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10681922-4405 Issued in UT
Practice address
1250 E 3900 S Ste 260
Salt Lake City, UT 84124-1371
Phone
(801) 265-2000
Fax
(801) 265-2008
NPI assigned
Feb 28, 2024
Last updated
Dec 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10681922-4405 UT Primary

Addresses

Primary practice location

1250 E 3900 S Ste 260
Salt Lake City, UT 84124-1371

Mailing address

1250 E 3900 S Ste 260
Salt Lake City, UT 84124-1371
Phone (801) 265-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, UT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250224001358 TX Practitioner - Nurse Practitioner 8628598489 Reassigns benefits to 1 organization
I20251106002386 UT Practitioner - Nurse Practitioner 8628598489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Baylor College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utah Healthcare Institute IncGroup PAC ID 7719882562, 12 clinicians
Doctors for a Better Tomorrow PLLCGroup PAC ID 6608157763, 3 clinicians

Practice addresses (Care Compare)

1250 E 3900
Suite 260
Salt Lake City, UT 84124-1371
Phone (801) 265-2000

2122 Rufe Snow Dr
Suite 132
Keller, TX 76248-5691
Phone (817) 576-4050

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10681922-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors for a Better Tomorrow PLLC CurrentSince Dec 22, 2024 Accepting new patients
Utah Healthcare Institute Inc CurrentSince Dec 1, 2025 Accepting new patients

Locations

8021 Matlock Rd
Ste 131
Arlington, TX 76002
Phone (817) 576-4050

2122 Rufe Snow Dr
Ste 132
Keller, TX 76248
Phone (817) 576-4050

7236 Blue Mound Rd
Ste 100
Saginaw, TX 76131
Phone (817) 386-4505

1250 E 3900 S
Ste 260
Slc, UT 84124
Phone (801) 265-2000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1709078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1184481905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 E 3900 S STE 260",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241371",
            "telephone_number": "801-265-2000",
            "fax_number": "801-265-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E 3900 S STE 260",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241371",
            "telephone_number": "801-265-2000",
            "fax_number": "801-265-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KELLY",
        "credential": "DNP, APRN-CNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-28",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "10681922-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.