NPIMap

Organization Active NPI

Kindly MD, Inc.

  • General Practice Physician
  • Millcreek, UT
National Provider Identifier
1225647480
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
KINDLY MD, INC.
Practice address
5097 S 900 E Ste 100
Millcreek, UT 84117-5725
Phone
(801) 851-5554
Fax
(833) 464-2575
NPI assigned
Jul 23, 2020
Last updated
Aug 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Authorized official

Name
Amy Cowan
Title
Director of Operations
Phone
(801) 851-5554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

5097 S 900 E Ste 100
Millcreek, UT 84117-5725

Mailing address

5097 S 900 E
Salt Lake Cty, UT 84117-5768
Phone (801) 851-5554

Other practice location 1

222 Draper Ln
Provo, UT 84601-2310
Phone (801) 851-5554

Other practice location 2

580 W 100 N Ste 4
Bountiful, UT 84010-7019
Phone (801) 851-5554

Other practice location 3

2485 Grant Ave Ste 105
Ogden, UT 84401-2679
Phone (801) 851-5554

Other names 1

  • Utah Therapeutic Health Center Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230224001420 UT Part B Supplier - Clinic/Group Practice 8921471897 Receives reassigned benefits from 14 practitioners
Practice locations: Salt Lake City, UT; Salt Lake Cty, UT

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

580 W 100 N
Ste 4
Bountiful, UT 84010
Phone (801) 382-8259

5097 S 900 E
Murray, UT 84117
Phone (801) 288-0200

5097 S 900 E
Ste 100
Murray, UT 84117
Phone (801) 576-1455

2485 Grant Ave
Ste 105
Ogden, UT 84401
Phone (801) 851-5554

222 Draper Ln
Provo, UT 84601
Phone (801) 851-5554

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21160/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1225647480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5097 S 900 E",
            "city": "SALT LAKE CTY",
            "state": "UT",
            "postal_code": "841175768",
            "telephone_number": "801-851-5554",
            "fax_number": "833-464-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5097 S 900 E STE 100",
            "city": "MILLCREEK",
            "state": "UT",
            "postal_code": "841175725",
            "telephone_number": "801-851-5554",
            "fax_number": "833-464-2575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 Draper Ln",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "846012310",
            "country_code": "US",
            "telephone_number": "801-851-5554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "580 W 100 N Ste 4",
            "address_purpose": "LOCATION",
            "city": "Bountiful",
            "state": "UT",
            "postal_code": "840107019",
            "country_code": "US",
            "telephone_number": "801-851-5554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2485 Grant Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Ogden",
            "state": "UT",
            "postal_code": "844012679",
            "country_code": "US",
            "telephone_number": "801-851-5554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KINDLY MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-23",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "COWAN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "801-851-5554"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Utah Therapeutic Health Center",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Utah Therapeutic Health Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Millcreek, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.