Individual provider Active NPI

Kayla Olson, FNP-BC

  • Family Medicine Physician
  • Gunnison, UT
National Provider Identifier
1306504246
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9057872-4405 Issued in UT
Practice address
65 East 100 North
Gunnison, UT 84634
Phone
(435) 528-2222
NPI assigned
Dec 7, 2021
Last updated
Dec 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9057872-4405 UT Primary

Addresses

Primary practice location

65 East 100 North
Gunnison, UT 84634

Mailing address

HC 64 Box 21064
Axtell, UT 84621-5504
Phone (435) 528-2222

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220623002181 UT Practitioner - Nurse Practitioner 5193104099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gunnison Valley HospitalGroup PAC ID 3678487659, 15 clinicians

Practice addresses (Care Compare)

63 W 550
Salina, UT 84654-1234
Phone (435) 529-2215

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9057872-4405UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gunnison Valley Hospital Family Medicine CurrentSince Jun 1, 2023 Accepting new patients
Gunnison Valley Hospital Past Accepting new patients

Locations

156 S Main St
Manti, UT 84642
Phone (435) 835-7246

46 N Main St
Manti, UT 84642
Phone (435) 835-6000

63 W 550 N
Salina, UT 84654
Phone (435) 529-2215

Interoperability endpoints

  • Direct secure messaging: kayla@gvpmaw-ut.direct.office.nextgen.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1306504246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 64 BOX 21064",
            "city": "AXTELL",
            "state": "UT",
            "postal_code": "846215504",
            "telephone_number": "435-528-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 EAST 100 NORTH",
            "city": "GUNNISON",
            "state": "UT",
            "postal_code": "84634",
            "telephone_number": "435-528-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "KAYLA",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-07",
        "last_updated": "2021-12-07",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "9057872-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gunnison, UT

Sources for this page

Verify at the official NPI Registry.