NPIMap

Individual provider Active NPI

Kimberly Ann Gill

  • Community Health Worker
  • Layton, UT
National Provider Identifier
1467972794
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
327 W Gordon Ave Ste 2
Layton, UT 84041-2381
Phone
(801) 683-1062
NPI assigned
Jun 27, 2017
Reactivated
Nov 21, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Behavior Technician 106S00000X UT
Community Health Worker 172V00000X Primary

Addresses

Primary practice location

327 W Gordon Ave Ste 2
Layton, UT 84041-2381

Mailing address

862 S Main St
Brigham City, UT 84302-3320

Other practice location 1

862 S Main
Brigham City, UT 84302
Phone (435) 723-1799

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Neurobcg Health Information Exchange (HIE)

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

Practice roles

OrganizationSpecialtyStatusNew patients
Barbara Morrell Hughes PC CurrentSince Aug 11, 2019 Accepting new patients
Neurobehavioral Center for Growth LLC CurrentSince Aug 11, 2019 Accepting new patients
Youthtrack, Inc Past Accepting new patients

Locations

327 W Gordon Ave
Ste 2
Layton, UT 84041
Phone (385) 342-2808

Organizations & group practices 3

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": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1467972794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "862 S MAIN ST",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843023320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 W GORDON AVE STE 2",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840412381",
            "telephone_number": "801-683-1062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "862 S Main",
            "address_purpose": "LOCATION",
            "city": "Brigham City",
            "state": "UT",
            "postal_code": "84302",
            "country_code": "US",
            "telephone_number": "435-723-1799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILL",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "deactivation_date": "2023-11-01",
        "reactivation_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "UT",
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Neurobcg",
            "affiliation": "N",
            "endpointDescription": "Business Location",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "327 W Gordon Ave Ste 2",
            "city": "Layton",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840412381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.