Active NPI
Kathleen Ann Stillion-Allen, A.P.R.N.
- Family Nurse Practitioner
- Salt Lake City, UT
National Provider Identifier
1770615296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2026014405
- Practice address
- 1856 E 4650 S
Salt Lake City, UT 84117-5102 - Phone
- (801) 819-4919
- Fax
- (801) 274-6129
- NPI assigned
- Mar 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2026014405 | UT | Primary |
Addresses
Primary practice location
1856 E 4650 S
Salt Lake City, UT 84117-5102
Mailing address
1856 E 4650 S
Salt Lake City, UT 84117-5102
Phone (801) 819-4919
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XXXXXXXXXX0601 | Other | BLUE CROSS/BLUE SHIELD | |
| XXXXXXXXX002 | Medicaid | UT | |
| 236004 | Other | UT | ALTIUS |
| 7648 | Other | UT | HEALTHY U |
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
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Demers Mental Health | Past | Accepting new patients | |
| Nurse Practitioner Healthcare Associates | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Salt Lake City, UT
- NPI 1114124732
-
- Mental Health Counselor
- Salt Lake City, UT
- NPI 1003920513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356912000000",
"number": "1770615296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1856 E 4650 S",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841175102",
"telephone_number": "801-819-4919",
"fax_number": "801-274-6129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1856 E 4650 S",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841175102",
"telephone_number": "801-819-4919",
"fax_number": "801-274-6129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STILLION-ALLEN",
"first_name": "KATHLEEN",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "A.P.R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-10",
"last_updated": "2012-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "2026014405",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "XXXXXXXXXX0601",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "XXXXXXXXX002",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALTIUS",
"identifier": "236004",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY U",
"identifier": "7648",
"state": "UT"
}
],
"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 Dec 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.