Lee Kilpack, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

287573-8900 Issued in UT

Practice address

673 Parkway Dr
North Salt Lake, UT 84054-2607

Phone

(435) 730-0648

NPI assigned

Aug 16, 2024

Last updated

Aug 16, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gadzoom Health LLC

  • Family Medicine Physician
  • Lehi, UT
  • NPI 1770187163

  Psychiatric/Mental Health

  NPD

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1538991682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "673 PARKWAY DR",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840542607",
            "telephone_number": "435-730-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "673 PARKWAY DR",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840542607",
            "telephone_number": "435-730-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILPACK",
        "first_name": "LEE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "287573-8900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Elder Allred LCSW Inc (Treat Counseling)
• JJCM Solutions LLC
• Bethany Jones, PHARMD
• K2T (Spectrum Hub ABA)
• Keystone Medical, LLC
• Jamie Kingdon
• Abigail Grace Kirkham
• Peta-Gaye Klenk, PHARMD
• Ralph William Knapp, M.D.
• Brayden Koenig

• Psychiatric/Mental Health Nurse Practitioner in North Salt Lake, UT
• Providers in North Salt Lake, UT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.