Active NPI
Stephanie Marion King, FNP-C, DC
- Family Nurse Practitioner
- Salt Lake City, UT
National Provider Identifier
1386724078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11277278-4405
- Practice address
- 1400 S Foothill Dr Ste 101
Salt Lake City, UT 84108-2364 - Phone
- (626) 379-2840
- Fax
- (626) 799-2732
- NPI assigned
- Oct 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC25070 | CA | |
| Registered Nurse | 163W00000X | 95111072 | CA | |
| Family Nurse Practitioner | 363LF0000X | 11277278-4405 | UT | Primary |
Addresses
Primary practice location
1400 S Foothill Dr Ste 101
Salt Lake City, UT 84108-2364
Mailing address
426 S 1000 E Apt 706
Salt Lake City, UT 84102-3038
Phone (626) 379-2840
Other practice location 1
12569 S 2700 W
Riverton, UT 84065-7182
Phone (801) 209-9797
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC25070 | CA | MD | Chiropractor |
| 25070 | CA | MD | General Practice Dentistry |
| 95111072 | CA | MD | Registered Nurse |
| 11277278-4405 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A New View Counseling and Psychological Services | Family | Past | Accepting new patients |
| Corner Canyon Recovery, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Riverton, UT
- NPI 1730654831
Family
-
dba Corner Canyon Health Centers
- Psychiatric Residential Treatment Facility
- Draper, UT
- NPI 1558876961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781740800000",
"number": "1386724078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "426 S 1000 E APT 706",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841023038",
"telephone_number": "626-379-2840",
"fax_number": "626-799-2732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 S FOOTHILL DR STE 101",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841082364",
"telephone_number": "626-379-2840",
"fax_number": "626-799-2732"
}
],
"practiceLocations": [
{
"address_1": "12569 S 2700 W",
"address_purpose": "LOCATION",
"city": "Riverton",
"state": "UT",
"postal_code": "840657182",
"country_code": "US",
"telephone_number": "801-209-9797",
"fax_number": "801-206-3506",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KING",
"first_name": "STEPHANIE",
"middle_name": "MARION",
"name_prefix": "Dr.",
"credential": "FNP-C, DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC25070",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95111072",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "11277278-4405",
"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 Jun 18, 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.