Active NPI
Janet D Kiester, ANP
- Nurse Practitioner
- Salt Lake City, UT
National Provider Identifier
1619922309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71002036A
- Practice address
- 241 North Vine St
#1103 West
Salt Lake City, UT 84103 - Phone
- (574) 252-9520
- Fax
- (574) 258-4278
- NPI assigned
- May 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71002036A | IN | Primary |
Addresses
Primary practice location
241 North Vine St
#1103 West
Salt Lake City, UT 84103
Mailing address
241 North Vine St
#1103 West
Salt Lake City, UT 84103
Phone (574) 252-9520
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200806270 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71002036A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lawrence R Curry | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Mishawaka, IN
- NPI 1427005990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687737600000",
"number": "1619922309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "241 NORTH VINE ST",
"address_2": "#1103 WEST",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84103",
"telephone_number": "574-252-9520",
"fax_number": "574-258-4278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "241 NORTH VINE ST",
"address_2": "#1103 WEST",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84103",
"telephone_number": "574-252-9520",
"fax_number": "574-258-4278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIESTER",
"first_name": "JANET",
"middle_name": "D",
"credential": "ANP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-23",
"last_updated": "2023-06-26",
"certification_date": "2023-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71002036A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200806270",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.