Individual provider Active NPI

Kimberly Jane Niday, MA, CCC/A

  • Audiologist
  • Salt Lake City, UT
National Provider Identifier
1720036015
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
7789480-4101 Issued in UT
Practice address
100 N. Mario Capecchi Drive
Salt Lake City, UT 84113-1100
Phone
(801) 662-1000
Fax
(801) 662-4930
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 21574 IA
Audiologist 231H00000X 7789480-4101 UT Primary

Addresses

Primary practice location

100 N. Mario Capecchi Drive
Salt Lake City, UT 84113-1100

Mailing address

100 N. Mario Capecchi Drive
Salt Lake City, UT 84113-1100
Phone (801) 662-1000

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
21574IAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eugene Hearing & Speech Center Audiologist 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.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1720036015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N. MARIO CAPECCHI DRIVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841131100",
            "telephone_number": "801-662-1000",
            "fax_number": "801-662-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N. MARIO CAPECCHI DRIVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841131100",
            "telephone_number": "801-662-1000",
            "fax_number": "801-662-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIDAY",
        "first_name": "KIMBERLY",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "MA, CCC/A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IA",
            "license": "21574",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "UT",
            "license": "7789480-4101",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.