Individual provider Active NPI

Kristie Ann Lemmon, APRN, FPMH-NP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • West Jordan, UT
National Provider Identifier
1306817457
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
292605-4405 Issued in UT
Practice address
9235 South Redwood Road
Suite a
West Jordan, UT 84088-5811
Phone
(801) 568-2898
Fax
(801) 568-2891
NPI assigned
Jan 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 292605-4405 UT Primary

Addresses

Primary practice location

9235 South Redwood Road
Suite a
West Jordan, UT 84088-5811

Mailing address

9235 South Redwood Road
Suite a
West Jordan, UT 84088-5811
Phone (801) 568-2898

Other identifiers 1

IdentifierTypeStateIssuer
10709321101OtherUTINTRMTN. HEALTH CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Aug 13, 2025 through Aug 13, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
292605-4405UTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DBT Network of Utah Psychiatric/Mental Health CurrentSince Dec 18, 2022 Accepting new patients

Locations

9289 S Redwood Rd
Ste C
West Jordan, UT 84088
Phone (801) 568-2898

9235 S Redwood Rd
Ste A
West Jordan, UT 84088
Phone (801) 568-2898

Organizations & group practices 1

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331251200000",
    "number": "1306817457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9235 SOUTH REDWOOD ROAD",
            "address_2": "SUITE A",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885811",
            "telephone_number": "801-568-2898",
            "fax_number": "801-568-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9235 SOUTH REDWOOD ROAD",
            "address_2": "SUITE A",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885811",
            "telephone_number": "801-568-2898",
            "fax_number": "801-568-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMMON",
        "first_name": "KRISTIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "APRN, FPMH-NP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2012-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "292605-4405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTRMTN. HEALTH CARE",
            "identifier": "10709321101",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

Verify at the official NPI Registry.