Individual provider Active NPI

Kristina Michelle Reed, M.D.

  • Pain Medicine Physician
  • Salt Lake City, UT
National Provider Identifier
1407057953
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
69833 Issued in MN
Practice address
6360 S 3000 E Ste 210
Salt Lake City, UT 84121-6972
Phone
(435) 615-8822
NPI assigned
May 31, 2007
Last updated
Jun 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 264807-1205 UT
General Practice Physician 208D00000X 264807-1205 UT
Pain Medicine Physician 208VP0000X 69833 MN Primary

Addresses

Primary practice location

6360 S 3000 E Ste 210
Salt Lake City, UT 84121-6972

Mailing address

6360 S 3000 E Ste 210
Salt Lake City, UT 84121-6972
Phone (435) 615-8822

Other names 1

  • Kristina Michelle Snihurowych Former name

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070706000297 UT Practitioner - Physical Medicine and Rehabilitation 8426158320 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Texas Medical School at San Antonio, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compass Pain Clinic Utah LLCGroup PAC ID 3072048289, 2 clinicians

Practice addresses (Care Compare)

10376 S Jordan Gtwy
South Jordan, UT 84095-3954
Phone (801) 816-0332

6360 S 3000
Suite 210
Salt Lake City, UT 84121-6972
Phone (801) 851-1105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Pain Clinic Utah LLC Physical Medicine & Rehabilitation CurrentSince Nov 1, 2024 Accepting new patients
Heiden Orthopedics,LLC CurrentSince Jul 1, 2023 Accepting new patients
Interventional Surgical Center LLC CurrentSince Aug 10, 2024 Accepting new patients
Integrated Functional Medicine General Practice Current Accepting new patients
Integrated Functional Medicine, LLC CurrentSince Apr 1, 2023 Accepting new patients
Integrated Functional Medicine, LLC Pain Medicine Past Accepting new patients

Locations

458 N 500 W
Bountiful, UT 84010
Phone (801) 292-9355

2200 Park Ave
Ste D100
Park City, UT 84060
Phone (435) 615-8822

151 E 5600 S
Ste 104
Salt Lake Cty, UT 84107
Phone (801) 495-1064

6360 S 3000 E
Ste 210
Salt Lake Cty, UT 84121
Phone (435) 615-8822

10376 S Jordan Gtwy
South Jordan, UT 84095
Phone (801) 619-3670

Organizations & group practices 6

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": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1407057953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 S 3000 E STE 210",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841216972",
            "telephone_number": "435-615-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 S 3000 E STE 210",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841216972",
            "telephone_number": "435-615-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "KRISTINA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "UT",
            "license": "264807-1205",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "UT",
            "license": "264807-1205",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "MN",
            "license": "69833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "SNIHUROWYCH",
            "middle_name": "MICHELLE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.