Individual provider Active NPI

Kristin Lund Lewis, PA-C

  • Physician Assistant
  • Saratoga Springs, UT
National Provider Identifier
1629155809
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
12660017-1206 Issued in UT
Practice address
62 E Thrive Dr Ste 100
Saratoga Springs, UT 84045-5559
Phone
(801) 766-8427
Fax
(801) 766-5657
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1920 CO
Physician Assistant 363A00000X PA-1890 ID
Physician Assistant 363A00000X 12660017-1206 UT Primary

Addresses

Primary practice location

62 E Thrive Dr Ste 100
Saratoga Springs, UT 84045-5559

Mailing address

275 W 200 N
Lindon, UT 84042-5009
Phone (801) 796-1333

Other practice location 1

9850 W St Lukes Dr Ste 129
Nampa, ID 83687-7912
Phone (208) 463-3000

Other practice location 2

215 E Hawaii Ave
Nampa, ID 83686-6011
Phone (208) 463-3000

Other practice location 3

2840 S. Meridian Rd
Meridian, ID 83642
Phone (208) 463-3000

Other practice location 4

9695 S. Yosemite St.
Ste #324
Lonetree, CO 80124
Phone (303) 706-9054

Other names 1

  • Kristin Lund Former name

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
I20220606001491 UT Practitioner - Physician Assistant 5092888610 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

5541 W 13400
Riverton, UT 84096-5640
Phone (801) 871-4700

700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600

Hospital & facility affiliations

  • Intermountain Health Riverton Hospital Hospital, Riverton, UT, CCN 460058
  • Intermountain Medical Center Hospital, Murray, UT, CCN 460010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1920COMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Family Medical - City Center Family Medicine CurrentSince Jul 1, 2022 Accepting new patients
Ihc Health Services Inc CurrentSince Nov 5, 2023 Accepting new patients
Ihc Health Services, Inc. CurrentSince Nov 5, 2023 Accepting new patients
Ihc Health Services Inc Past Accepting new patients

Locations

226 N 1100 E
Ste A
American Fork, UT 84003
Phone (801) 763-3841

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

3000 N Triumph Blvd
Ste 220
Lehi, UT 84043
Phone (801) 642-2990

680 E Main St
Lehi, UT 84043
Phone (801) 766-0606

275 W 200 N
Lindon, UT 84042
Phone (801) 796-1333

830 N 2000 W
Pleasant Grv, UT 84062
Phone (801) 756-3511

5541 W 13400 S
Riverton, UT 84096
Phone (801) 871-4700

62 E Thrive Dr
Ste 100
Saratoga Springs, UT 84045
Phone (801) 766-8427

707 E Mill Rd
Ste 303
Vineyard, UT 84059
Phone (801) 224-1300

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1629155809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 W 200 N",
            "city": "LINDON",
            "state": "UT",
            "postal_code": "840425009",
            "telephone_number": "801-796-1333",
            "fax_number": "801-443-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 E THRIVE DR STE 100",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840455559",
            "telephone_number": "801-766-8427",
            "fax_number": "801-766-5657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9850 W St Lukes Dr Ste 129",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836877912",
            "country_code": "US",
            "telephone_number": "208-463-3000",
            "fax_number": "208-468-5958",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 E Hawaii Ave",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836866011",
            "country_code": "US",
            "telephone_number": "208-463-3000",
            "fax_number": "208-468-5958",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2840 S. Meridian Rd",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "83642",
            "country_code": "US",
            "telephone_number": "208-463-3000",
            "fax_number": "208-468-5958",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9695 S. Yosemite St.",
            "address_2": "Ste #324",
            "address_purpose": "LOCATION",
            "city": "Lonetree",
            "state": "CO",
            "postal_code": "80124",
            "country_code": "US",
            "telephone_number": "303-706-9054",
            "fax_number": "303-302-9799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KRISTIN",
        "middle_name": "LUND",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "1920",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-1890",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "12660017-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "LUND",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saratoga Springs, UT

Sources for this page

Verify at the official NPI Registry.