Active NPI
Kayla Atkin
- Clinical Social Worker
- Draper, UT
National Provider Identifier
1457744591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 63460933501
- Practice address
- 12397 S 300 E Ste 150
Draper, UT 84020 - Phone
- (801) 623-6355
- NPI assigned
- Mar 13, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 63460933501 | UT | Primary |
Addresses
Primary practice location
12397 S 300 E Ste 150
Draper, UT 84020
Mailing address
747 E 1870 N
Orem, UT 84097-7356
Phone (385) 535-9000
Other practice location 1
750 N Freedom Blvd
Provo, UT 84601-1677
Phone (801) 373-4760
Other practice location 2
111 E Main St Ste L4
Lehi, UT 84043-2490
Phone (801) 980-3676
Other practice location 3
12397 S 300 E Ste 150
Draper, UT 84020
Phone (801) 623-6355 ext. 703
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63460933501 | UT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557964800000",
"number": "1457744591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "747 E 1870 N",
"city": "OREM",
"state": "UT",
"postal_code": "840977356",
"telephone_number": "385-535-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12397 S 300 E STE 150",
"city": "DRAPER",
"state": "UT",
"postal_code": "84020",
"telephone_number": "801-623-6355"
}
],
"practiceLocations": [
{
"address_1": "750 N Freedom Blvd",
"address_purpose": "LOCATION",
"city": "Provo",
"state": "UT",
"postal_code": "846011677",
"country_code": "US",
"telephone_number": "801-373-4760",
"fax_number": "801-373-0639",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 E Main St Ste L4",
"address_purpose": "LOCATION",
"city": "Lehi",
"state": "UT",
"postal_code": "840432490",
"country_code": "US",
"telephone_number": "801-980-3676",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12397 S 300 E Ste 150",
"address_purpose": "LOCATION",
"city": "Draper",
"state": "UT",
"postal_code": "84020",
"country_code": "US",
"telephone_number": "801-623-6355 x703",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ATKIN",
"first_name": "KAYLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-13",
"last_updated": "2019-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "63460933501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Draper, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.