Individual provider Active NPI

Kristin Youd, APRN

  • Family Nurse Practitioner
  • Genola, UT
National Provider Identifier
1720843196
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7187006-4405 Issued in UT
Practice address
911 S Anna Ekins LN
Genola, UT 84655-6108
Phone
(801) 358-8586
NPI assigned
Feb 15, 2024
Last updated
Feb 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 7187006-4405 UT Primary

Addresses

Primary practice location

911 S Anna Ekins LN
Genola, UT 84655-6108

Mailing address

911 S Anna Ekins LN
Genola, UT 84655-6108
Phone (801) 358-8586

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
I20260129003478 UT Practitioner - Nurse Practitioner 4981182045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3152 N University Ave
Provo, UT 84604-4729

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7187006-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Medical Center LLC CurrentSince Jan 25, 2026 Accepting new patients
Shahzad Ahmad PLLC PastSince Jun 15, 2018 Accepting new patients

Locations

3152 N University Ave
Ste 120
Provo, UT 84604
Phone (801) 375-2177

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1720843196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 S ANNA EKINS LN",
            "city": "GENOLA",
            "state": "UT",
            "postal_code": "846556108",
            "telephone_number": "801-358-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 S ANNA EKINS LN",
            "city": "GENOLA",
            "state": "UT",
            "postal_code": "846556108",
            "telephone_number": "801-358-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUD",
        "first_name": "KRISTIN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "7187006-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Genola, UT

Sources for this page

Verify at the official NPI Registry.