Kimberly Ann Greaves, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4732817-4405 Issued in UT

Practice address

1649 W Antelope Dr Ste 180
Layton, UT 84041-1194

Phone

(801) 719-5958

Fax

(801) 719-5959

NPI assigned

Dec 19, 2007

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

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

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1285818898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1649 W ANTELOPE DR STE 180",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411194",
            "telephone_number": "801-719-5958",
            "fax_number": "801-719-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1649 W ANTELOPE DR STE 180",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411194",
            "telephone_number": "801-719-5958",
            "fax_number": "801-719-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREAVES",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-19",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "4732817-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Grant
• Andrea J Graves
• Christopher Parker Grawrock
• Marley Gray
• Great Basin Anesthesia
• Christy Green, LPN
• Crisandra Green
• Jennifer C Green, MSN, APRN, NP-C
• Kenyatta Green, CSW
• Robert Green

• Family Nurse Practitioner in Layton, UT
• Providers in Layton, 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 May 6, 2025; 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.