Kristian Dalley

Key facts

NPI

1285529099

Entity type

Individual (NPI type 1)

Primary specialty

Registered Nurse 163W00000X

License

9854069-3102 (UT)

Practice address

65 N 1150 W
Hurricane, UT 84737-2062

Phone

(435) 879-7677

NPI assigned

Jun 11, 2025

Sex

Male

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 11, 2025.

{
    "created_epoch": "1749600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1285529099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 E CROOKED CREEK DR",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847808639",
            "telephone_number": "435-862-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 N 1150 W",
            "city": "HURRICANE",
            "state": "UT",
            "postal_code": "847372062",
            "telephone_number": "435-879-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLEY",
        "first_name": "KRISTIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "9854069-3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurricane, UT

• Scott Corsi, LCSW
• Jessica Lyn Cowan, LCSW
• Reena Price Curl, MFT
• Amanda Jeanne Horrocks Cushing, OD
• Jessica Ann Dalley, FNP
• Jason Davey
• Jackson James David, MSW,CSW,TRS,CTRS,
• Alyssa Ann Dean
• Elizabeth Ann Demille, PA-C
• Maurice C Demille, DMD

All providers in Hurricane, UT · Registered Nurse in Utah