Individual provider Active NPI

Kelli L Parker, FNP

  • Family Nurse Practitioner
  • American Fork, UT
National Provider Identifier
1861615296
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
183463-4405 Issued in UT
Practice address
1248 E 90 N Ste 300
American Fork, UT 84003-2956
Phone
(801) 756-9635
Fax
(801) 216-8357
NPI assigned
Apr 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 183463-4405 UT Primary

Addresses

Primary practice location

1248 E 90 N Ste 300
American Fork, UT 84003-2956

Mailing address

1248 E 90 N Ste 300
American Fork, UT 84003-2956
Phone (801) 756-9635

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240916003060 UT Practitioner - Nurse Practitioner 0840731014 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
183463-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Obstetrics and Gynecology, P.C. CurrentSince Sep 4, 2024 Accepting new patients
Valley Obstetrics and Gynecology, P.C. CurrentSince Sep 4, 2024 Accepting new patients
Valley Obstetrics and Gynecology, PC Current Accepting new patients
Valley Obstetrics and Gynecology, PC Past Accepting new patients

Locations

1248 E 90 N
Ste 300
American Fork, UT 84003
Phone (801) 756-1157

3000 N Triumph Blvd
Ste 210
Lehi, UT 84043
Phone (801) 374-1801

585 N 500 W
Ste 500
Provo, UT 84601

585 N 500 W
Provo, UT 84601
Phone (801) 374-1801

118 E Thrive Dr
Ste 200
Saratoga Springs, UT 84045
Phone (801) 756-1577

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1861615296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 E 90 N STE 300",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032956",
            "telephone_number": "801-756-9635",
            "fax_number": "801-216-8357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 E 90 N STE 300",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032956",
            "telephone_number": "801-756-9635",
            "fax_number": "801-216-8357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "KELLI",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "183463-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

Verify at the official NPI Registry.