Taylor Marie Krupp, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

14177024-1206 Issued in UT

Practice address

1551 Renaissance Towne Dr Ste 500
Bountiful, UT 84010-7678

Phone

(801) 295-7200

NPI assigned

May 17, 2023

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

Enrolled in UT

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: taylor.krupp.1@27251.direct.athenahealth.com

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.

• Mountain Orthopaedics LLC

  • Orthopaedic Surgery Physician
  • Bountiful, UT
  • NPI 1952019846

  UT

  Medicare reassignment

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1396436705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 RENAISSANCE TOWNE DR STE 500",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840107678",
            "telephone_number": "801-295-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 RENAISSANCE TOWNE DR STE 500",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840107678",
            "telephone_number": "801-295-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUPP",
        "first_name": "TAYLOR",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-17",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "14177024-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel John Kozloff, M.D.
• Skylar Kramer
• Marilou Miner Krstyen, RPH
• Ellison M Kruckenberg, COTA/L
• James Krumholz, PT, DPT
• Brooke Kumar, LCSW
• Lauren Parker Kwallek
• L.a.C.E. by Louise, Inc.
• Spencer Lee Lake
• Lakeside Dialysis Center University of Utah

• All providers in Bountiful, UT
• Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.