Individual provider Active NPI

Kathleen Sherrie Rich

  • Family Nurse Practitioner
  • Salt Lake City, UT
National Provider Identifier
1588236442
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4885433-8900 Issued in UT
Practice address
348 E 4500 S Ste 300
Salt Lake City, UT 84107-8535
Phone
(801) 266-2777
NPI assigned
Jul 12, 2021
Last updated
Jan 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4885433-8900 UT
Family Nurse Practitioner 363LF0000X 4885433-8900 UT Primary

Addresses

Primary practice location

348 E 4500 S Ste 300
Salt Lake City, UT 84107-8535

Mailing address

PO Box 198560
Atlanta, GA 30384-8560

Other practice location 1

12000 E Big Cottonwood Canyon Rd
Brighton, UT 84121-9710
Phone (801) 533-2002

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
I20211203002284 UT Practitioner - Nurse Practitioner 6901296011 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4885433-8900UTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado CurrentSince Jan 24, 2024 Accepting new patients
Physician Group of Utah Inc CurrentSince Nov 6, 2022 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Jan 24, 2024 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Ihc Health Services, Inc. PastSince Nov 6, 2022 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

12000 E Big Cottonwood Canyon Rd
Brighton, UT 84121
Phone (801) 328-4063

12000 E Big Cottonwood Canyon Rd
Fl 1
Brighton, UT 84121
Phone (435) 776-7522

82 S 1100 E
Ste 103
Salt Lake Cty, UT 84102
Phone (801) 505-5370

82 S 1100 E
Ste 303
Salt Lake Cty, UT 84102
Phone (801) 533-2002

2530 W 4700 S
Ste B8
Taylorsville, UT 84129
Phone (801) 967-5866

3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810

Organizations & group practices 6

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": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1588236442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198560",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303848560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 E 4500 S STE 300",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841078535",
            "telephone_number": "801-266-2777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12000 E Big Cottonwood Canyon Rd",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "UT",
            "postal_code": "841219710",
            "country_code": "US",
            "telephone_number": "801-533-2002",
            "fax_number": "801-323-9546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICH",
        "first_name": "KATHLEEN",
        "middle_name": "SHERRIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "4885433-8900",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "4885433-8900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.