NPIMap

Individual provider Active NPI

Kenzie Harline Smith, PA-C

  • Physician Assistant
  • Murray, UT
National Provider Identifier
1851916803
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1191 W Pitchfork Rd
Murray, UT 84123-7672
Phone
(719) 661-6348
NPI assigned
Jun 15, 2020
Last updated
Mar 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1191 W Pitchfork Rd
Murray, UT 84123-7672

Mailing address

1191 W Pitchfork Rd
Murray, UT 84123-7672
Phone (719) 661-6348

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ksmith826580@direct.med.utah.edu Direct University of Utah

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, UT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230512000864 NY Practitioner - Physician Assistant 2769848936 Reassigns benefits to 1 organization
I20231211000191 UT Practitioner - Physician Assistant 2769848936 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians
University of Utah Adult ServicesGroup PAC ID 0941525273, 1,758 clinicians

Practice addresses (Care Compare)

4403 Harrison Blvd
Suite 2645
Ogden, UT 84403-3278
Phone (801) 387-7900

530 S Wakara Way
Salt Lake City, UT 84108-1213
Phone (801) 587-6453

700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Nov 1, 2023 Accepting new patients
University of Utah Adult Services CurrentSince Dec 21, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai Otolaryngology CurrentSince Feb 3, 2023 Accepting new patients
Ihc Health Services Inc CurrentSince Nov 1, 2023 Accepting new patients
University of Utah Adult Services CurrentSince Dec 21, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Feb 3, 2023 Accepting new patients
Ihc Health Services Inc Past Accepting new patients

Locations

150 E 42nd St
Fl 2E678
New York, NY 10017

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

201 W Layton Pkwy
Ste 2D
Layton, UT 84041
Phone (801) 543-6900

4403 Harrison Blvd
Ste 2645
Ogden, UT 84403
Phone (801) 387-2880

4403 Harrison Blvd
Ste 2855
Ogden, UT 84403
Phone (801) 387-2550

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

530 S Wakara Way
Slc, UT 84108
Phone (801) 581-8951

Interoperability endpoints

  • Direct secure messaging: ksmith826580@direct.med.utah.edu

Organizations & group practices 10

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1851916803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 W PITCHFORK RD",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841237672",
            "telephone_number": "719-661-6348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 W PITCHFORK RD",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841237672",
            "telephone_number": "719-661-6348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KENZIE",
        "middle_name": "HARLINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-15",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ksmith826580@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.