Katherine Elizabeth Anderson, OD
Individual provider Active NPI Optometrist · South Salt Lake, UT
NPI 1487207296 · NPPES record last updated Mar 5, 2025
Key facts
- NPI
- 1487207296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 13475740-9934 (UT)
- Practice address
- 566 E 3300 S Unit 1803
South Salt Lake, UT 84106-4731 - Phone
- (207) 217-4898
- NPI assigned
- Jul 20, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 9
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Utah Adult Services
Practice addresses (Care Compare)
50 N Medical Dr
Salt Lake City, UT 84132-0100
Phone (801) 581-4314
Hospital & facility affiliations
- University of Utah Hospital and Clinics
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.77 of 100
- Quality
- 91.47
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.42
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231027001292 | UT | Practitioner - Optometry | 3375961931 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Adult Services | Current |
Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah Adult Services | Current |
Accepting new patients | |
| Bronson Lakeview Hospital | Past | Accepting new patients |
Locations
127 S 500 E
Ste 200
Salt Lake City, UT 84102
127 S 500 E
Ste 400B
Salt Lake City, UT 84102
Phone (801) 587-6478
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
Interoperability endpoints
- kanderson705093@direct.med.utah.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 13475740-9934 | UT | Yes |
Addresses
Primary practice location
566 E 3300 S Unit 1803
South Salt Lake, UT 84106-4731
Mailing address
1720 N Frances Blvd
Tucson, AZ 85712-3559
Phone (207) 217-4898
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kanderson705093@direct.med.utah.edu | Direct | University of Utah |
NPI Registry JSON
{
"created_epoch": "1563580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741132800000",
"number": "1487207296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 N FRANCES BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857123559",
"telephone_number": "207-217-4898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "566 E 3300 S UNIT 1803",
"city": "SOUTH SALT LAKE",
"state": "UT",
"postal_code": "841064731",
"telephone_number": "207-217-4898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "KATHERINE",
"middle_name": "ELIZABETH",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-20",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "UT",
"license": "13475740-9934",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kanderson705093@direct.med.utah.edu",
"affiliation": "Y",
"affiliationName": "University of Utah",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "50 N Medical Dr",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "841320001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in South Salt Lake, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.