Kimberly Jo Davis, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

6348762-1204 Issued in UT

Practice address

1174E Graystone Way 15
SLC, UT 84106-2678

Phone

(801) 486-0875

Fax

(801) 486-0174

NPI assigned

Apr 30, 2008

Sex

Female

Sole proprietor

Yes

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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 and National Provider Directory roles.

• Togo Acute and Post Acute Care

  • Internal Medicine Physician
  • South Jordan, UT
  • NPI 1417667742

  Family Medicine

  Medicare reassignment NPD
• Togo Healthcare LLC

  • Family Medicine Physician
  • South Jordan, UT
  • NPI 1699511071
  Medicare reassignment NPD
• Diabetes Health Management PLLC

  • Sleep Medicine (Family Medicine) Physician
  • Sandy, UT
  • NPI 1740582618
  NPD

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1487820320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1174E GRAYSTONE WAY 15",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841062678",
            "telephone_number": "801-557-7785",
            "fax_number": "801-486-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1174E GRAYSTONE WAY 15",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841062678",
            "telephone_number": "801-486-0875",
            "fax_number": "801-486-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KIMBERLY",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-30",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "6348762-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Marie Darstein, OTR/L
• Rebecca Davenport
• Kayleen Savage Davidson
• Jan Duffy Davis, S.L.P
• Katherine Wetzel Davis, RDN
• Matthew Davis, PH.D.
• Chelsea Anne Day, MOT, OTR/L
• Morgan Fan Day
• Kali Dawn Dayton, ACNP
• Sheila De la Cruz, MPH

• Family Medicine Physician in SLC, UT
• Providers in SLC, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.