Kellie Kay Oliver, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

6789115-4405 Issued in UT

Practice address

348 N Bluff St Ste 102
St George, UT 84770-5170

Phone

(435) 414-0722

NPI assigned

Oct 13, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kellie Kay Raines Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1697155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1790567840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 N BLUFF ST STE 102",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847705170",
            "telephone_number": "435-414-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 N BLUFF ST STE 102",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847705170",
            "telephone_number": "435-414-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "KELLIE",
        "middle_name": "KAY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-13",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "6789115-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLIE",
            "last_name": "RAINES",
            "middle_name": "KAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Oldroyd, MD
• Lindsay Olds
• Adam Gordon Oliphant
• Andrea M Oliva
• Derek Oliver
• Stacie L Oliver, MD
• Sierra Olivier
• Bradley James Olsen, DNP
• Brianna K Olsen, RDN
• Emily Olsen

• Nurse Practitioner in St George, UT
• Providers in St George, UT by specialty
• Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.