Individual provider Active NPI

Kennedy Byrd, DNP

  • Acute Care Nurse Practitioner
  • Salt Lake City, UT
National Provider Identifier
1396148607
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
6995747-4405 Issued in UT
Practice address
1200 E 3900 S
Salt Lake City, UT 84124-1300
Phone
(801) 268-7111
NPI assigned
Sep 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 6995747-4405 UT Primary

Addresses

Primary practice location

1200 E 3900 S
Salt Lake City, UT 84124-1300

Mailing address

144 S 500 E
Salt Lake City, UT 84102-1907

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kbyrd55901@direct.med.utah.edu Direct University of Utah

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150216000861 UT Practitioner - Nurse Practitioner 9234454224 Reassigns benefits to 2 organizations
I20230113001634 WA Practitioner - Nurse Practitioner 9234454224 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6995747-4405UTMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Dec 14, 2022 Accepting new patients
University of Utah Acuity Care Services Current Accepting new patients
University of Utah Acuity Care Services CurrentSince Sep 30, 2020 Accepting new patients
Utah Regional Hospitalists LLC CurrentSince Dec 14, 2014 Accepting new patients
Utah Regional Hospitalists LLC CurrentSince Dec 14, 2014 Accepting new patients
Multicare Health System CurrentSince Dec 14, 2022 Accepting new patients
Multicare Health System Current Accepting new patients
Post Acute Medical PLLC CurrentSince Jun 20, 2024 Accepting new patients
University of Utah Acuity Care Services CurrentSince Sep 30, 2020 Accepting new patients
Altea Medical Washington PLLC CurrentSince Nov 1, 2025 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

1200 E 3900 S
Slc, UT 84124
Phone (801) 268-7111

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 964-3111

414 17th St SE
Auburn, WA 98002
Phone (253) 320-0748

303 Telegraph Rd
Bellingham, WA 98226
Phone (360) 863-6696

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

2821 S Walden St
Seattle, WA 98144
Phone (206) 577-6200

6025 N Assembly St
Spokane, WA 99205
Phone (509) 326-8282

6220 S Alaska St
Tacoma, WA 98408
Phone (253) 473-2273

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Interoperability endpoints

  • Direct secure messaging: kbyrd55901@direct.med.utah.edu

Organizations & group practices 10

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": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1396148607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 S 500 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E 3900 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241300",
            "telephone_number": "801-268-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "KENNEDY",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-30",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "UT",
            "license": "6995747-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbyrd55901@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.