Kristy Brubaker

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11461339-3501 Issued in UT

Practice address

425 E 5350 S Ste 205
Washington Terrace, UT 84405-6943

Phone

(801) 851-5554

NPI assigned

Dec 9, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kindly MD, Inc.Group PAC ID 8921471897, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21160/brand/1/csg/1/fhir/r4

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.

• Kindly MD, Inc.

  • General Practice Physician
  • Millcreek, UT
  • NPI 1225647480
  Medicare reassignment Care Compare group NPD
• Kindly LLC

  • Multi-Specialty Clinic/Center
  • Murray, UT
  • NPI 1487446324
  Medicare reassignment NPD
• Elevate Surgical PC

  • Orthopaedic Surgery Physician
  • Ogden, UT
  • NPI 1952064198
  NPD

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1760857288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E 5350 S STE 205",
            "city": "WASHINGTON TERRACE",
            "state": "UT",
            "postal_code": "844056943",
            "telephone_number": "801-851-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E 5350 S STE 205",
            "city": "WASHINGTON TERRACE",
            "state": "UT",
            "postal_code": "844056943",
            "telephone_number": "801-851-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUBAKER",
        "first_name": "KRISTY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-09",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "11461339-3501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "95-2633765",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beaver Valley Hospital
• Lisa Bell, DNP, WHNP-BC
• Javier Bibb, M.D.
• Haydee Larralde Blanca, M.D
• Sydra Brown
• Carson Call, PTA
• Zane Callister, DPT
• Thomas F Calton, M.D.
• Care First Pharmacy LLC
• Andrew Chris, AMFT

• Clinical Social Worker in Washington Terrace, UT
• Providers in Washington Terrace, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.