Active NPI
Kevin C Loveridge, PA-C
- Physician Assistant
- Salt Lake City, UT
National Provider Identifier
1326292210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 7151945-1206
- Practice address
- 765 N 2200 W
Salt Lake City, UT 84116-2926 - Phone
- (801) 245-2190
- NPI assigned
- Nov 5, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 7151945-1206 | UT | Primary |
Addresses
Primary practice location
765 N 2200 W
Salt Lake City, UT 84116-2926
Mailing address
765 N 2200 W
Utah Air National Guard / 151 MDG
Salt Lake City, UT 84116-2926
Phone (801) 245-2190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7151945-1206 | UT | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763942400000",
"number": "1326292210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "765 N 2200 W",
"address_2": "UTAH AIR NATIONAL GUARD / 151 MDG",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841162926",
"telephone_number": "801-245-2190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "765 N 2200 W",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841162926",
"telephone_number": "801-245-2190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVERIDGE",
"first_name": "KEVIN",
"middle_name": "C",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-05",
"last_updated": "2025-11-24",
"certification_date": "2025-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "7151945-1206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.