Timothy Pickett, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

4908815-1206 Issued in UT

Practice address

5097 S 900 E Ste 100
Salt Lake Cty, UT 84117-5725

Phone

(801) 851-5554

NPI assigned

Aug 6, 2014

Last updated

Nov 28, 2023By the provider in NPPES

Sex

Male

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

State licenses

Practice roles

Locations

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.

• Emergency Physicians Integrated Care, LLC

  • Emergency Medicine Physician
  • Salt Lake City, UT
  • NPI 1578598199
  Medicare reassignment NPD
• Physician Group of Utah Inc

  • Specialist
  • South Jordan, UT
  • NPI 1477676930
  Medicare reassignment NPD
• Kindly MD, Inc.

  • General Practice Physician
  • Millcreek, UT
  • NPI 1225647480
  Medicare reassignment
• Elevate Surgical PC

  • Orthopaedic Surgery Physician
  • Ogden, UT
  • NPI 1952064198
  NPD (past)
• Kindly LLC

  • Multi-Specialty Clinic/Center
  • Murray, UT
  • NPI 1487446324
  NPD (past)

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1427467158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5097 S 900 E STE 100",
            "city": "SALT LAKE CTY",
            "state": "UT",
            "postal_code": "841175725",
            "telephone_number": "801-851-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5097 S 900 E STE 100",
            "city": "SALT LAKE CTY",
            "state": "UT",
            "postal_code": "841175725",
            "telephone_number": "801-851-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKETT",
        "first_name": "TIMOTHY",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-06",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "4908815-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Majd Ibrahim, M.D.
• Shane Jaimez, NP
• Rachel Ellen Jones, LCSW
• Amley Elizabeth Kerr
• Shami Niccole King
• Carilyn Pointer
• Read Fitness LLC (Max Muscle)
• Ben Rogers
• Sarah Winters Smith, APRN
• Russell Allen Spence, PHARMACIST

• Physician Assistant in Salt Lake Cty, UT
• Providers in Salt Lake Cty, UT by specialty
• Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.