Individual provider Active NPI

Kathryn Evans Dowden, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Murray, UT
National Provider Identifier
1235939125
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
6978124-8900 Issued in UT
Practice address
154 E Myrtle Ave Ste 204
Murray, UT 84107-4850
Phone
(801) 369-8989
NPI assigned
Mar 18, 2025
Last updated
Apr 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 6978124-8900 UT Primary

Addresses

Primary practice location

154 E Myrtle Ave Ste 204
Murray, UT 84107-4850

Mailing address

4658 S Meadow Rd
Murray, UT 84107-3962

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250620001149 UT Practitioner - Nurse Practitioner 4284146838 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6978124-8900UTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Numinus Wellness Ut Inc CurrentSince Jun 5, 2025 Accepting new patients
Ogden Internal Medicine & Urology LLC PastSince Jun 5, 2025 Accepting new patients

Locations

2950 N Church St
Ste 101
Layton, UT 84040
Phone (801) 771-7202

154 E Myrtle Ave
Ste 204
Salt Lake City, UT 84107
Phone (801) 266-9300

672 W 400 S
Ste 201
Springville, UT 84663
Phone (435) 621-5224

Interoperability endpoints

  • Direct secure messaging: kathryn.dowden.1@17324.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1235939125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4658 S MEADOW RD",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841073962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 E MYRTLE AVE STE 204",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841074850",
            "telephone_number": "801-369-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWDEN",
        "first_name": "KATHRYN",
        "middle_name": "EVANS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "6978124-8900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.