Individual provider Active NPI

Krystal King

  • Family Nurse Practitioner
  • Price, UT
National Provider Identifier
1912383498
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5530782-4405 Issued in UT
Practice address
280 N Hospital Dr Ste 5
Price, UT 84501-4211
Phone
(435) 637-4590
Fax
(435) 637-4598
NPI assigned
Aug 6, 2015
Last updated
Mar 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP-1613A ID
Family Nurse Practitioner 363LF0000X 5530782-4405 UT Primary

Addresses

Primary practice location

280 N Hospital Dr Ste 5
Price, UT 84501-4211

Mailing address

3550 N University Ave Ste 260
Provo, UT 84604-6683
Phone (801) 374-9625

Other practice location 1

1411 Fillmore St Ste 600
Twin Falls, ID 83301-3343
Phone (208) 933-4400

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
I20231011000985 UT Practitioner - Nurse Practitioner 7618283110 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP-1613AIDMDFamily Nurse Practitioner
5530782-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Surgical Associates, Inc. CurrentSince Jan 25, 2024 Accepting new patients
Home Clinix Utah LLC CurrentSince Aug 16, 2023 Accepting new patients
Utah Weight Loss, LLC PastSince Jan 25, 2024 Accepting new patients

Locations

280 N Hospital Dr
Ste 5
Price, UT 84501
Phone (435) 637-4590

3550 N University Ave
Ste 250
Provo, UT 84604
Phone (801) 374-9625

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1912383498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 N UNIVERSITY AVE STE 260",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046683",
            "telephone_number": "801-374-9625",
            "fax_number": "801-374-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 N HOSPITAL DR STE 5",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845014211",
            "telephone_number": "435-637-4590",
            "fax_number": "435-637-4598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1411 Fillmore St Ste 600",
            "address_purpose": "LOCATION",
            "city": "Twin Falls",
            "state": "ID",
            "postal_code": "833013343",
            "country_code": "US",
            "telephone_number": "208-933-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "KRYSTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-06",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP-1613A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "5530782-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Price, UT

Sources for this page

Verify at the official NPI Registry.