Kelly Cross Imlay, APRN
Individual provider Active NPI Family Nurse Practitioner · Clinton, UT
NPI 1548043029 · NPPES record last updated Aug 29, 2026
Key facts
- NPI
- 1548043029
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 196456-4405 (UT)
- Practice address
- 1857 N 1000 W Ste 1
Clinton, UT 84015-8969 - Phone
- (801) 745-5794
- NPI assigned
- Aug 17, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231212002424 | UT | Practitioner - Nurse Practitioner | 2961576756 |
Reassigns benefits to 1 organization Practice locations: Clinton, UT |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imbody Health | Single Specialty | Current |
Accepting new patients |
| Signify Health, LLC | Single Specialty | Current |
Accepting new patients |
| Integrative Womens Care PC | Past | Accepting new patients |
Locations
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
1857 N 1000 W
#1
Clinton, UT 84015
Phone (385) 393-8108
9980 S 300 W
Ste 200
Sandy, UT 84070
Phone (801) 285-7403
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | 196456-4405 | UT | Yes |
Addresses
Primary practice location
1857 N 1000 W Ste 1
Clinton, UT 84015-8969
Mailing address
1857 N 1000 W Ste 1
Clinton, UT 84015-8969
Phone (801) 745-5794
Other providers in Clinton, UT
- Loriann Hillyard
- Eric S Hogan
- Brooke Howell
- James Charles Hoye
- Imbody Health
- Jasmer Health LLC
- Andrea Jolynne Jepson
- Mark S Jorgensen
- Joy Heejoo Kang
- Kenai Personnel Solutions, LLC
All providers in Clinton, UT · Family Nurse Practitioner in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.