Active NPI
Kathy Jean Kercher, N.P.
- Nurse Practitioner
- West Jordan, UT
National Provider Identifier
1255560801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 7301103-4408
- Practice address
- 3354 W 7800 S
West Jordan, UT 84088-4506 - Phone
- (801) 282-2677
- Fax
- (801) 282-2050
- NPI assigned
- Jul 3, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 7301103-4408 | UT | Primary |
Addresses
Primary practice location
3354 W 7800 S
West Jordan, UT 84088-4506
Mailing address
10011 S Centennial Pkwy
Sandy, UT 84070-4156
Phone (801) 566-5350
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7301103-4408 | UT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hunter Medical Center, Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Jordan Meadows Medical Center.
- Family Medicine Physician
- West Jordan, UT
- NPI 1205957131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404950400000",
"number": "1255560801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10011 S CENTENNIAL PKWY",
"city": "SANDY",
"state": "UT",
"postal_code": "840704156",
"telephone_number": "801-566-5350",
"fax_number": "801-282-2050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3354 W 7800 S",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840884506",
"telephone_number": "801-282-2677",
"fax_number": "801-282-2050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERCHER",
"first_name": "KATHY",
"middle_name": "JEAN",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-03",
"last_updated": "2014-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "UT",
"license": "7301103-4408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.