Individual provider Active NPI

Kristina K Bennett, DNP, FNP-BC, APRN

  • Family Nurse Practitioner
  • Bountiful, UT
National Provider Identifier
1528642139
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
308224-4405 Issued in UT
Practice address
110 N Main St Ste 101
Bountiful, UT 84010-6134
Phone
(801) 874-2388
NPI assigned
May 10, 2021
Last updated
Sep 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 308224-4405 UT Primary

Addresses

Primary practice location

110 N Main St Ste 101
Bountiful, UT 84010-6134

Mailing address

701 Ridge Top Cir
North Salt Lake, UT 84054-2816
Phone (801) 815-1021

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220513001102 UT Practitioner - Nurse Practitioner 3072990027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1551 Renaissance Town Dr
Suite 400
Bountiful, UT 84010-7676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
308224-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Orthopaedics LLC CurrentSince Dec 16, 2022 Accepting new patients

Locations

1551 Renaissance Towne Dr
Ste 400
Bountiful, UT 84010
Phone (801) 294-7246

1551 Renaissance Towne Dr
Ste 500
Bountiful, UT 84010

201 W Layton Pkwy
Ste 400
Layton, UT 84041
Phone 8012957200116

Interoperability endpoints

  • Direct secure messaging: kristina.bennett.1@27251.direct.athenahealth.com

Organizations & group practices 1

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": "1620604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1528642139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 RIDGE TOP CIR",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840542816",
            "telephone_number": "801-815-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N MAIN ST STE 101",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106134",
            "telephone_number": "801-874-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "KRISTINA",
        "middle_name": "K",
        "credential": "DNP, FNP-BC, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-10",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "308224-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bountiful, UT

Sources for this page

Verify at the official NPI Registry.