Kallie Pothier

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11590992-4405 Issued in UT

Practice address

348 S 2000 W Unit 18a
Pleasant Grove, UT 84062-3885

Phone

(801) 382-8645

Fax

(866) 531-4109

NPI assigned

May 9, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IGBHDD/Endpoint/IGBHDD

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

{
    "created_epoch": "1746748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755388800000",
    "number": "1225828502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 W 10 S",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840626713",
            "telephone_number": "208-881-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 S 2000 W UNIT 18A",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840623885",
            "telephone_number": "801-382-8645",
            "fax_number": "866-531-4109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTHIER",
        "first_name": "KALLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-09",
        "last_updated": "2025-08-17",
        "certification_date": "2025-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "UT",
            "license": "11590992-3102",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "11590992-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nada Breanna Plooster, CSW
• Richard Omer Plothow
• Kristin Pond, ATC
• Christopher Pope, OD
• Glen T. Porter, MD
• Shane Poulsen
• Parker Pratt, DC
• Precision Health
• Premier Family Medical
• Premiere Counseling Services LLC

• Family Nurse Practitioner in Pleasant Grove, UT
• Providers in Pleasant Grove, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.