Active NPI
Kathryn Middleton Spedding, PA
- Physician Assistant
- Orem, UT
National Provider Identifier
1487344198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 14204791-1206
- Practice address
- 173 N 400 W Ste C11
Orem, UT 84057-1909 - Phone
- (801) 802-7373
- NPI assigned
- May 8, 2023
- Last updated
- May 28, 2025
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 14204791-1206 | UT | Primary |
Addresses
Primary practice location
173 N 400 W Ste C11
Orem, UT 84057-1909
Mailing address
1055 N. 500 W. Attn Credentialing
Provo, UT 84604-4066
Phone (801) 354-8225
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
173 N 400
Suite C11
Orem, UT 84057-1909
Phone (801) 802-7373
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revere Health PC | Current | Accepting new patients | |
| Revere Health PC | Current | Accepting new patients |
Locations
173 N 400 W
Ste C11
Orem, UT 84057
Phone (801) 802-7373
1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000
Interoperability endpoints
- kathrynspedding@cuccu.allscriptsdirect.net
Organizations & group practices 2
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": "1683504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748390400000",
"number": "1487344198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 N. 500 W. ATTN CREDENTIALING",
"city": "PROVO",
"state": "UT",
"postal_code": "846044066",
"telephone_number": "801-354-8225",
"fax_number": "801-418-0941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "173 N 400 W STE C11",
"city": "OREM",
"state": "UT",
"postal_code": "840571909",
"telephone_number": "801-802-7373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEDDING",
"first_name": "KATHRYN",
"middle_name": "MIDDLETON",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-08",
"last_updated": "2025-05-28",
"certification_date": "2025-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "14204791-1206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orem, UT
- South Valley Transitional Care Center, LLC (Stonewood Villa Assisted Living or Stonewood Villa Nursing & Rehab)
- Audrey South
- Leila Souza
- Spark Behavioral Health and TMS LLC
- Specialized Home Health, LLC
- Logan Chase Spence, PHARMD
- Kathy Marie Spencer
- Madyline Spencer
- Stevie-Marie Niccolette Spencer
- Spero Health Group (Spero Counseling Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.