Individual provider Active NPI

Stephanie Marion King, FNP-C, DC

  • Family Nurse Practitioner
  • Salt Lake City, UT
National Provider Identifier
1386724078
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11277278-4405 Issued in UT
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

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DC25070CAMDChiropractor
25070CAMDGeneral Practice Dentistry
95111072CAMDRegistered Nurse
11277278-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
A New View Counseling and Psychological Services Family PastSince Oct 20, 2024 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.

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.

Verify at the official NPI Registry.