Individual provider Active NPI

Kyle Ward, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mapleton, UT
National Provider Identifier
1538035217
Registry record updated Oct 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NA Issued in UT
Practice address
1062 S Bowery Way
Mapleton, UT 84664-4460
Phone
(208) 243-4711
NPI assigned
Oct 11, 2025
Last updated
Oct 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NA UT Primary

Addresses

Primary practice location

1062 S Bowery Way
Mapleton, UT 84664-4460

Mailing address

1062 S Bowery Way
Mapleton, UT 84664-4460

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
I20260116001684 UT Practitioner - Nurse Practitioner 2567949852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

138 E 12300
Unit 328
Draper, UT 84020-7965

138 E 12300
Unit 328
Draper, UT 84020-7976

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Smile Psychiatry and Behavioral Single Specialty CurrentSince Dec 7, 2025 Accepting new patients

Locations

138 E 12300 S
Unit 328
Draper, UT 84020
Phone (801) 406-6256

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": "1760140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760140800000",
    "number": "1538035217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 S BOWERY WAY",
            "city": "MAPLETON",
            "state": "UT",
            "postal_code": "846644460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 S BOWERY WAY",
            "city": "MAPLETON",
            "state": "UT",
            "postal_code": "846644460",
            "telephone_number": "208-243-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "KYLE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-11",
        "last_updated": "2025-10-11",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mapleton, UT

Sources for this page

Verify at the official NPI Registry.