Individual provider Active NPI

Kierra Law

  • Interventional Pain Medicine Physician
  • Murray, UT
National Provider Identifier
1306527809
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
9799775-4405 Issued in UT
Practice address
5801 S Fashion Blvd Ste 180
Murray, UT 84107-8135
Phone
(801) 262-7246
NPI assigned
Jul 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 9799775-4405 UT Primary

Addresses

Primary practice location

5801 S Fashion Blvd Ste 180
Murray, UT 84107-8135

Mailing address

5801 S Fashion Blvd Ste 180
Murray, UT 84107-8135
Phone (801) 262-7246

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
I20231117000407 UT Practitioner - Nurse Practitioner 0143677898 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Spine & Pain Management CurrentSince Oct 7, 2023 Accepting new patients
Interventional Spine & Pain Management CurrentSince Oct 7, 2023 Accepting new patients

Locations

560 W 465 N
Ste 604
Providence, UT 84332
Phone (435) 753-1600

5801 S Fashion Blvd
Ste 180
Salt Lake City, UT 84107
Phone (801) 706-2100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDBECA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1306527809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 S FASHION BLVD STE 180",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841078135",
            "telephone_number": "801-262-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 S FASHION BLVD STE 180",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841078135",
            "telephone_number": "801-262-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAW",
        "first_name": "KIERRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "UT",
            "license": "9799775-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.