Individual provider Active NPI

Veronica Marie Kitchens

  • Physician Assistant
  • Midvale, UT
National Provider Identifier
1760034029
Registry record updated Dec 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
119570781206 Issued in UT
Practice address
8446 S Harrison St
Midvale, UT 84047-3501
Phone
(801) 417-0131
NPI assigned
Jul 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 119570781206 UT Primary

Addresses

Primary practice location

8446 S Harrison St
Midvale, UT 84047-3501

Mailing address

1514 S Lincoln St
Salt Lake City, UT 84105-2320
Phone (801) 657-8630

Other practice location 1

3845 W 4700 S
Taylorsville, UT 84129-3454
Phone (801) 840-2000

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
I20211013002926 UT Practitioner - Physician Assistant 4880092345 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
119570781206UTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc CurrentSince Jun 14, 2023 Accepting new patients
Ihc Health Services, Inc. CurrentSince Jun 14, 2023 Accepting new patients
Utah Partners for Health CurrentSince Jan 4, 2021 Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

7651 S Main St
Midvale, UT 84047
Phone (801) 255-5814

8446 S Harrison St
Midvale, UT 84047
Phone (801) 417-0131

3845 W 4700 S
West Valley City, UT 84129
Phone (801) 840-2020

Organizations & group practices 5

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": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734220800000",
    "number": "1760034029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 S LINCOLN ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052320",
            "telephone_number": "801-657-8630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8446 S HARRISON ST",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840473501",
            "telephone_number": "801-417-0131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3845 W 4700 S",
            "address_purpose": "LOCATION",
            "city": "Taylorsville",
            "state": "UT",
            "postal_code": "841293454",
            "country_code": "US",
            "telephone_number": "801-840-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KITCHENS",
        "first_name": "VERONICA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2024-12-15",
        "certification_date": "2024-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "119570781206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midvale, UT

Sources for this page

Verify at the official NPI Registry.