Judith L Kirstein, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

164009-1205 Issued in UT

Practice address

8846 S Redwood Rd
Ste E121
West Jordan, UT 84088-9334

Phone

(801) 569-1999

Fax

(801) 569-2001

NPI assigned

Jun 13, 2006

Last updated

Sep 16, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Jordan Valley Family Health

  • Family Medicine Physician
  • West Jordan, UT
  • NPI 1437191038
  NPD (past) Authorized official
• Jordan Family Health, LLC

  • Family Medicine Physician
  • West Jordan, UT
  • NPI 1164672770
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1275576027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8846 S REDWOOD RD",
            "address_2": "STE E121",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889334",
            "telephone_number": "801-569-1999",
            "fax_number": "801-569-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8846 S REDWOOD RD",
            "address_2": "STE E121",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889334",
            "telephone_number": "801-569-1999",
            "fax_number": "801-569-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSTEIN",
        "first_name": "JUDITH",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "164009-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164672770",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06179",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grant King
• Joseph L Kingston, D.O.
• Liana Olivia Kinikini, DNP, APRN, NP-C
• Crystalee Kinkaid
• Tyler Kade Kirkman
• Cierra Kirts
• Romeo S Kistler, LPC, NCC
• Stanford Klain
• Brenna A Klinger
• Kenneth John Knapp Jr., R.PH.

• Family Medicine Physician in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.

Verify at the official NPI Registry.