Active NPI
Brandon Robert Kent, APRN
- Family Nurse Practitioner
- Lehi, UT
National Provider Identifier
1508620188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 379804-4405
- Practice address
- 1633 W Innovation Way FL 4
Lehi, UT 84043-4252 - Phone
- (855) 726-6363
- NPI assigned
- Feb 13, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 379804-4405 | UT | Primary |
Addresses
Primary practice location
1633 W Innovation Way FL 4
Lehi, UT 84043-4252
Mailing address
1633 W Innovation Way FL 4
Lehi, UT 84043-4252
Phone (855) 726-6363
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 379804-4405 | UT | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713830400000",
"number": "1508620188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1633 W INNOVATION WAY FL 4",
"city": "LEHI",
"state": "UT",
"postal_code": "840434252",
"telephone_number": "855-726-6363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1633 W INNOVATION WAY FL 4",
"city": "LEHI",
"state": "UT",
"postal_code": "840434252",
"telephone_number": "855-726-6363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENT",
"first_name": "BRANDON",
"middle_name": "ROBERT",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-02-13",
"last_updated": "2024-04-23",
"certification_date": "2024-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "379804-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lehi, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.