Active NPI
Kristi Kay Kleinschmit, M.D.
- Pediatrics Physician
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 54005851205
- Practice address
- 650 Komas Dr
#208
Salt Lake City, UT 84108-1215 - Phone
- (801) 585-1212
- Fax
- (801) 585-9096
- NPI assigned
- Sep 20, 2006
- Last updated
- Dec 20, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 54005851205 | UT | |
| Pediatrics Physician | 208000000X | 54005851205 | UT | Primary |
Addresses
Primary practice location
650 Komas Dr
#208
Salt Lake City, UT 84108-1215
Mailing address
32 S 1300 E
#2
Salt Lake City, UT 84102-1793
Phone (801) 585-1212
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kkleinschmit4145@direct.med.utah.edu | Direct | University of Utah |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54005851205 | UT | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Behavioral Health Services | Current | Accepting new patients | |
| University of Utah Behavioral Health Services | Current | Accepting new patients | |
| University of Utah Behavioral Health Services | Current | Accepting new patients |
Locations
1525 W 2100 S
Salt Lake City, UT 84119
Phone (801) 213-8841
525 E 100 S
Ste 500
Salt Lake City, UT 84102
Phone (801) 519-7190
51 W 39th S
Salt Lake Cty, UT 84107
Phone (801) 266-4363
501 S Chipeta Way
Slc, UT 84108
Phone (801) 581-7951
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
Organizations & group practices 3
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.
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- NPI 1740688613
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- NPI 1093265654
-
dba Adult Sports Psychiatry
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- Salt Lake City, UT
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639958400000",
"number": "1689772741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 S 1300 E",
"address_2": "#2",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841021793",
"telephone_number": "801-585-1212",
"fax_number": "801-585-9096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 KOMAS DR",
"address_2": "#208",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841081215",
"telephone_number": "801-585-1212",
"fax_number": "801-585-9096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEINSCHMIT",
"first_name": "KRISTI",
"middle_name": "KAY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2021-12-20",
"certification_date": "2021-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "UT",
"license": "54005851205",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "UT",
"license": "54005851205",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kkleinschmit4145@direct.med.utah.edu",
"affiliation": "Y",
"affiliationName": "University of Utah",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "50 N Medical Dr",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "841320001",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Dec 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.