Kelley Nicole Keenan

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

13469151-4402 Issued in UT

Practice address

4685 S Highland Dr Ste 208
Holladay, UT 84117-5163

Phone

(385) 401-2895

NPI assigned

Jun 10, 2024

Last updated

Aug 14, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Uplift for Her, LLC

  • Gynecology Physician
  • Holladay, UT
  • NPI 1144153172

  Women's Health

  NPD (past)

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1346082641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4685 S HIGHLAND DR STE 208",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841175163",
            "telephone_number": "385-401-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4685 S HIGHLAND DR STE 208",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841175163",
            "telephone_number": "385-401-2895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENAN",
        "first_name": "KELLEY",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "UT",
            "license": "13469151-4402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivana Jourdon
• Juce Services (Visiting Angels of SLC)
• K&a Holdings (Olympus Pharmacy)
• Kalani Anderson, LCSW, PLLC
• Kathy D. Barnett, PHD. LLC
• Joseph Michael Kelly, DPT
• Jacob Kenison
• Kristina A. Kill, D.C.
• Kanon Knaphus, LMT
• Christy Kobe, LCSW

• Women's Health Nurse Practitioner in Holladay, UT
• Providers in Holladay, UT by specialty
• Women's Health Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.