Active NPI
Kristen Bikhazi Woody, DO
- Family Medicine Physician
- Provo, UT
National Provider Identifier
1245688175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO2662
- Practice address
- 1750 N Wymount Terrace Dr
Provo, UT 84602-1017 - Phone
- (801) 422-5156
- Fax
- (801) 422-0761
- NPI assigned
- Jun 1, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 14298702-1204 | UT | |
| Family Medicine Physician | 207Q00000X | DO2662 | NV | Primary |
Addresses
Primary practice location
1750 N Wymount Terrace Dr
Provo, UT 84602-1017
Mailing address
1750 N Wymount Terrace Dr
Provo, UT 84602-1017
Phone (801) 422-5156
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO2662 | NV | MD | Family Medicine Physician |
| BP10057721 | TX | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Touro University | Family Medicine | Current | Accepting new patients |
Locations
1801 W Olympic Blvd
#2265
Pasadena, CA 91199
874 American Pacific Dr
Henderson, NV 89014
Phone (702) 777-4808
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1245688175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 N WYMOUNT TERRACE DR",
"city": "PROVO",
"state": "UT",
"postal_code": "846021017",
"telephone_number": "801-422-5156",
"fax_number": "801-422-0761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 N WYMOUNT TERRACE DR",
"city": "PROVO",
"state": "UT",
"postal_code": "846021017",
"telephone_number": "801-422-5156",
"fax_number": "801-422-0761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODY",
"first_name": "KRISTEN",
"middle_name": "BIKHAZI",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-01",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "14298702-1204",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NV",
"license": "DO2662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.