NPIMap

Individual provider Active NPI

Kristin K Buys, PA-C

  • Physician Assistant
  • Garden City, UT
National Provider Identifier
1194078501
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
8461958-1206 Issued in UT
Practice address
288 S Paradise Parkway
Garden City, UT 84028
Phone
(435) 255-1630
Fax
(435) 946-9124
NPI assigned
Oct 23, 2012
Last updated
Nov 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 8461958-1206 UT Primary
Medical Physician Assistant 363AM0700X PA-1511 ID

Addresses

Primary practice location

288 S Paradise Parkway
Garden City, UT 84028

Mailing address

288 Paradise Parkway
Garden City, UT 84028
Phone (435) 255-1630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130111000444 UT Practitioner - Physician Assistant 2264685759 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

288 S Paradise Pkwy
Garden City, UT 84028-7909
Phone (435) 255-1630

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-1511IDMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Health West, Inc. Current Accepting new patients
Health West, Inc. Family Medicine CurrentSince Mar 19, 2024 Accepting new patients
Health West, Inc. Family Medicine Current Accepting new patients
Bear Lake County Memorial Hospital Family Medicine CurrentSince Jan 5, 2025 Accepting new patients
Bear Lake Community Health Center, Inc. CurrentSince Dec 1, 2012 Accepting new patients
Health West, Inc. Family Medicine Current Accepting new patients
Health West, Inc. Family Medicine Current Accepting new patients
Health West, Inc. CurrentSince Mar 19, 2024 Accepting new patients

Locations

823 Reed St
American Falls, ID 83211
Phone (208) 226-2822

152 S 4th St
Montpelier, ID 83254
Phone (208) 847-2108

465 Memorial Dr
Pocatello, ID 83201
Phone (208) 234-4700

500 S 11th Ave
Ste 400
Pocatello, ID 83201

655 S 4th E
Ste 600
Preston, ID 83263
Phone 20823278621122

5 W 200 N
Brigham City, UT 84302
Phone (435) 723-6033

1515 N 400 E
Ste 104
North Logan, UT 84341
Phone (435) 755-8424

517 W 100 N
Ste 210
Providence, UT 84332

Organizations & group practices 9

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": "1350950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1194078501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 PARADISE PARKWAY",
            "city": "GARDEN CITY",
            "state": "UT",
            "postal_code": "84028",
            "telephone_number": "435-255-1630",
            "fax_number": "435-946-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 S PARADISE PARKWAY",
            "city": "GARDEN CITY",
            "state": "UT",
            "postal_code": "84028",
            "telephone_number": "435-255-1630",
            "fax_number": "435-946-9124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUYS",
        "first_name": "KRISTIN",
        "middle_name": "K",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-23",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "8461958-1206",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ID",
            "license": "PA-1511",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, UT

Sources for this page

Verify at the official NPI Registry.