Kevin Cottle, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3289814405 Issued in UT

Practice address

3556 W 9800 S
Suite 101
South Jordan, UT 84095-3211

Phone

(801) 567-9780

Fax

(801) 567-9826

NPI assigned

May 23, 2007

Last updated

Dec 20, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Copperview Medical Center, LLC

  • Family Medicine Physician
  • South Jordan, UT
  • NPI 1316970924
  Medicare reassignment
• Interventional Spine & Pain Management

  • Pain Medicine Physician
  • Ogden, UT
  • NPI 1992342414
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1245440478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3556 W 9800 S",
            "address_2": "SUITE 101",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953211",
            "telephone_number": "801-567-9780",
            "fax_number": "801-567-9826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3556 W 9800 S",
            "address_2": "SUITE 101",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953211",
            "telephone_number": "801-567-9780",
            "fax_number": "801-567-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTLE",
        "first_name": "KEVIN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "3289814405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Meredith Cosentino
• Michael Cosgrave II, D.O.
• Costco Wholesale Corporation (Costco Pharmacy #1019)
• Costco Wholesale Corporation (Costco Hearing Aid #1019)
• Costco Wholesale Corporation (Costco Optical #1019)
• Courageous Corner
• Justin Couraud
• Kristi Couse, LMT, MMP
• Savannah Grace Seninger Cowley, LCSW
• Cynthia Cox, ATC, CSCS

• Family Nurse Practitioner in South Jordan, UT
• Providers in South Jordan, 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 Dec 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.