Kimberlie Keyser Yadon, FNP

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

308855-4405 Issued in UT

Practice address

1420 W 12600 S
Riverton, UT 84065-7070

Phone

(801) 254-4600

NPI assigned

Jan 12, 2024

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kimberlie.yadon@811393367080964.direct.elationemr.com

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.

• New Horizon

  • Preferred Provider Organization
  • Draper, UT
  • NPI 1194273524
  NPD (past)
• New Horizon Medical Care Inc

  • Family Medicine Physician
  • Riverton, UT
  • NPI 1912136862
  NPD (past)

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1316718968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3544 W VIA BELLO CT",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958152",
            "telephone_number": "801-573-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 W 12600 S",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840657070",
            "telephone_number": "801-254-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YADON",
        "first_name": "KIMBERLIE",
        "middle_name": "KEYSER",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "UT",
            "license": "308855-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Wray, LCSW
• Chris Wright
• Olivia Wright
• Olivia Wright
• Blair L Wynn, LCSW
• Kevin Llewellyn Yeager, D.D.S.
• Young Family Dental-Riverton
• Chelsea Sarah Young
• Elizabeth Young, DPT
• Ethan Michael Young, PA

• Adult Medicine Physician in Riverton, UT
• Providers in Riverton, UT by specialty
• Adult Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.