Kelli Jan Fife, MMS; PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

7474871-1206 Issued in UT

Practice address

4815 S Center St
Murray, UT 84107-4814

Phone

(801) 262-2443

Fax

(801) 262-8869

NPI assigned

Dec 9, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Murray Family Medicine PLLC

  • Primary Care Clinic/Center
  • Murray, UT
  • NPI 1053773770
  NPD
• Jordan Ridge Family Medicine LLC

  • Primary Care Clinic/Center
  • Sandy, UT
  • NPI 1962166710
  NPD (past)
• Peter V Sundwall MD Pca

  • Family Medicine Physician
  • Murray, UT
  • NPI 1053594861
  NPD (past)

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1699004341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 S CENTER ST",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841074814",
            "telephone_number": "801-262-2443",
            "fax_number": "801-262-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 S CENTER ST",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841074814",
            "telephone_number": "801-262-2443",
            "fax_number": "801-262-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIFE",
        "first_name": "KELLI",
        "middle_name": "JAN",
        "name_prefix": "Ms.",
        "credential": "MMS; PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "7474871-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Ferrer, NP
• Madelyn Ferrer
• Jeremiah Ferrin, D.D.S.
• Laurel Lynne Fetzer, R.D.
• Alan Eugene Fidler, RDCS
• Rachel Figura
• Karl Finai
• Elizabeth Finch
• James Christopher Finch
• Kelley Elizabeth Findlay, N.P.

• Physician Assistant in Murray, UT
• Providers in Murray, UT by specialty
• Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.