Individual provider Active NPI

Kelly Wosnik, NP-C

  • Nurse Practitioner
  • Spanish Fork, UT
National Provider Identifier
1356353601
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
327710-4405 Issued in UT
Practice address
1533 N Main St
Spanish Fork, UT 84660-1005
Phone
(801) 894-1124
Fax
(801) 894-1150
NPI assigned
Aug 13, 2006
Last updated
Mar 9, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 327710-4405 UT Primary

Addresses

Primary practice location

1533 N Main St
Spanish Fork, UT 84660-1005

Mailing address

1533 N Main St
Spanish Fork, UT 84660-1005
Phone (801) 894-1124

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
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly Wosnik Inc CurrentSince Nov 8, 2020 Accepting new patients
Utah Valley Radiology Associates Inc PastSince May 1, 2008 Accepting new patients
Allred Psychological Services PastSince Dec 18, 2022 Accepting new patients
Riverwoods Urgent Care Center LC PastSince Oct 6, 2003 Accepting new patients

Locations

1125 W Center St
Orem, UT 84057
Phone (801) 903-5903

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15493/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299628800000",
    "number": "1356353601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 N MAIN ST",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601005",
            "telephone_number": "801-894-1124",
            "fax_number": "801-894-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 N MAIN ST",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601005",
            "telephone_number": "801-894-1124",
            "fax_number": "801-894-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOSNIK",
        "first_name": "KELLY",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2011-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "327710-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spanish Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.