Organization Active NPI

Kelsey Furr LLC

  • General Practice Physician
  • Saratoga Springs, UT
National Provider Identifier
1871271767
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
KELSEY FURR LLC
Practice address
981 W Coral Charm Way
Saratoga Springs, UT 84045-6706
Phone
(916) 365-7118
NPI assigned
Jul 10, 2023
Last updated
Jul 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Authorized official

Name
Kelsey Furr, FNPNPI 1457069635
Title
Owner
Phone
(916) 365-7118

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

981 W Coral Charm Way
Saratoga Springs, UT 84045-6706

Mailing address

981 W Coral Charm Way
Saratoga Springs, UT 84045-6706
Phone (916) 365-7118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230814000278 UT Part B Supplier - Clinic/Group Practice 9830551563 Receives reassigned benefits from 1 practitioner
Practice locations: Saratoga Springs, UT

National Provider Directory

National Provider Directory

Locations

433 E State Rd
Ste D
American Fork, UT 84003

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1871271767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 W CORAL CHARM WAY",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840456706",
            "telephone_number": "916-365-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 W CORAL CHARM WAY",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840456706",
            "telephone_number": "916-365-7118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELSEY FURR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "FURR",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-365-7118",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.