Kealoha Sarah Reiko Snow

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2064952 Issued in UT

Practice address

1485 W 1930 N
Pleasant Grove, UT 84062-9403

Phone

(808) 561-3254

NPI assigned

Aug 18, 2023

Last updated

May 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Kealoha Sarah Reiko Kagawa Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aloha Ketamine and Wellness LLC

  • Family Medicine Physician
  • Orem, UT
  • NPI 1477309581
  NPD

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1851175186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 W 1930 N",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840629403",
            "telephone_number": "808-561-3254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 W 1930 N",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840629403",
            "telephone_number": "808-561-3254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOW",
        "first_name": "KEALOHA",
        "middle_name": "SARAH REIKO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-18",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "2064952",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "5916938-4405",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN CONTROLLED SUBSTANCE",
            "identifier": "5916938-8900",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "5916938-4405",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEALOHA",
            "last_name": "KAGAWA",
            "middle_name": "SARAH REIKO",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gavin Trevor Smith, DDS
• Joanna Smith
• Savannah Smith
• Scott L Smith, MD
• Smiths Food & Drug Centers Inc (Smiths Pharmacy #73)
• Solace Emotional Health
• Solasta Healing Center
• Susanne Stoddard Sollis, MS, APRN, NP-C
• Sonatix Wellness
• Bailey Sorensen, RBT

• Family Nurse Practitioner in Pleasant Grove, UT
• Providers in Pleasant Grove, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.