Individual provider Active NPI

Kayla Pendleton

  • Physician Assistant
  • Cedar City, UT
National Provider Identifier
1578311676
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
14247105-1206 Issued in UT
Practice address
166 W 1325 N Ste 250
Cedar City, UT 84721-7794
Phone
(435) 586-6440
NPI assigned
May 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 14247105-1206 UT Primary

Addresses

Primary practice location

166 W 1325 N Ste 250
Cedar City, UT 84721-7794

Mailing address

166 W 1325 N Ste 250
Cedar City, UT 84721-7794
Phone (435) 531-3163

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
I20251105002298 UT Practitioner - Physician Assistant 7810487170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

166 W 1325
Suite 250
Cedar City, UT 84721-7794

2483 W Pachea TRL
Cedar City, UT 84720-6941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
14247105-1206UTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Dermatology PLLC Dermatology CurrentSince Oct 22, 2025 Accepting new patients
Rocky Mountain University of Health Professions Foundation CurrentSince May 19, 2024 Accepting new patients

Locations

166 W 1325 N
Ste 250
Cedar City, UT 84721
Phone (435) 586-6440

140 White Sage Ave
Delta, UT 84624
Phone (435) 864-3333

700 S Highway 99
Fillmore, UT 84631
Phone (435) 743-5555

770 S Highway 99
Fillmore, UT 84631
Phone (435) 253-8000

1800 Novell Pl
Provo, UT 84606
Phone (801) 375-5125

Organizations & group practices 2

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": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1578311676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 W 1325 N STE 250",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847217794",
            "telephone_number": "435-531-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 W 1325 N STE 250",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847217794",
            "telephone_number": "435-586-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDLETON",
        "first_name": "KAYLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-13",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "14247105-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar City, UT

Sources for this page

Verify at the official NPI Registry.