Individual provider Active NPI

Kristen Louise Phipps, L.AC.

  • Acupuncturist
  • Salt Lake City, UT
National Provider Identifier
1760229603
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
5500557-1201 Issued in UT
Practice address
1390 S 1100 E Ste 110
Salt Lake City, UT 84105-2463
Phone
(801) 707-7612
NPI assigned
Jul 9, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 5500557-1201 UT Primary

Addresses

Primary practice location

1390 S 1100 E Ste 110
Salt Lake City, UT 84105-2463

Mailing address

931 E Wilson Ave
Salt Lake City, UT 84105-3324
Phone (801) 550-1725

Other practice location 1

423 W 800 S # A317
Salt Lake City, UT 84101-2213
Phone (801) 550-1725

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5500557-1201UTMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1760229603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 E WILSON AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841053324",
            "telephone_number": "801-550-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 S 1100 E STE 110",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052463",
            "telephone_number": "801-707-7612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "423 W 800 S # A317",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841012213",
            "country_code": "US",
            "telephone_number": "801-550-1725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHIPPS",
        "first_name": "KRISTEN",
        "middle_name": "LOUISE",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "UT",
            "license": "5500557-1201",
            "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 Jul 9, 2024; 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.