Individual provider Active NPI

Katie Walker, FNP

  • Nurse Practitioner
  • West Jordan, UT
National Provider Identifier
1669343596
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11303669-4405 Issued in UT
Practice address
3590 W 9000 S
West Jordan, UT 84088-8857
Phone
(801) 814-0807
NPI assigned
Sep 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11303669-4405 UT Primary

Addresses

Primary practice location

3590 W 9000 S
West Jordan, UT 84088-8857

Mailing address

3590 W 9000 S
West Jordan, UT 84088-8857

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
I20251009003193 UT Practitioner - Nurse Practitioner 0446757926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tecs Utah PCGroup PAC ID 2163931106, 6 clinicians

Practice addresses (Care Compare)

350 E 300
American Fork, UT 84003-1717
Phone (801) 756-5293

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tecs Utah PC CurrentSince Sep 1, 2025 Accepting new patients

Locations

18312 Middlebelt Rd
Livonia, MI 48152
Phone (248) 426-9944

350 E 300 N
American Fork, UT 84003
Phone (385) 350-8500

523 N Main St
Bountiful, UT 84010
Phone (801) 951-1600

775 N 200 E
Brigham City, UT 84302
Phone (435) 723-7777

1100 N 400 E
Nephi, UT 84648
Phone (435) 623-1721

163 E 1000 N
Richfield, UT 84701
Phone (435) 896-8211

2472 S 300 E
South Salt Lake, UT 84115
Phone (801) 273-6402

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.

NPI Registry JSON

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

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1669343596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3590 W 9000 S",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840888857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3590 W 9000 S",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840888857",
            "telephone_number": "801-814-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "KATIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "11303669-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

Verify at the official NPI Registry.