Active NPI
Judith Ahrano Kittel, MD
- Developmental - Behavioral Pediatrics Physician
- Salt Lake City, UT
National Provider Identifier
1235227307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental - Behavioral Pediatrics Physician
- License
- 181775-1205
- Practice address
- 350 S 400 E
Salt Lake City, UT 84111-2908 - Phone
- (801) 582-5534
- NPI assigned
- Oct 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | 181775-1205 | UT | Primary |
Addresses
Primary practice location
350 S 400 E
Salt Lake City, UT 84111-2908
Mailing address
3276 Alta Hills Dr
Sandy, UT 84093-2112
Phone (801) 944-8864
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 999000021002 | Medicaid | UT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 181775-1205 | UT | MD | Developmental - Behavioral Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Center | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- Salt Lake City, UT
- NPI 1275566069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257120000000",
"number": "1235227307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3276 ALTA HILLS DR",
"city": "SANDY",
"state": "UT",
"postal_code": "840932112",
"telephone_number": "801-944-8864",
"fax_number": "801-944-8864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 S 400 E",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841112908",
"telephone_number": "801-582-5534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KITTEL",
"first_name": "JUDITH",
"middle_name": "AHRANO",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2009-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "UT",
"license": "181775-1205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "999000021002",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.