Organization Active NPI

Kifa Health, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Murray, UT
National Provider Identifier
1912788423
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
KIFA HEALTH, LLC
Practice address
678 E Vine St Ste 11
Murray, UT 84107-5500
Phone
(801) 618-7370
Fax
(801) 752-0630
NPI assigned
Oct 10, 2023
Last updated
Jul 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
Dr. Susana Kinikini, DNPNPI 1578763389
Title
FNP/Pmhnp
Phone
(801) 618-7370

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
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

678 E Vine St Ste 11
Murray, UT 84107-5500

Mailing address

160 E 800 S # B
Salt Lake City, UT 84111-3827
Phone (801) 618-1213

Other practice location 1

180 E 800 S # B
Salt Lake City, UT 84111-3827
Phone (801) 618-1213

National Provider Directory

National Provider Directory

Locations

678 E Vine St
Ste 11
Murray, UT 84107
Phone (801) 618-1213

180 E 800 S
#B
Salt Lake City, UT 84111
Phone (801) 618-1213

Interoperability endpoints

  • Direct secure messaging: kifahealth@org188.direct.charmhealth.com

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": "1696896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1912788423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E 800 S # B",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841113827",
            "telephone_number": "801-618-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "678 E VINE ST STE 11",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075500",
            "telephone_number": "801-618-7370",
            "fax_number": "801-752-0630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 E 800 S # B",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841113827",
            "country_code": "US",
            "telephone_number": "801-618-1213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIFA HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-10",
        "last_updated": "2024-07-15",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "KINIKINI",
        "authorized_official_first_name": "SUSANA",
        "authorized_official_title_or_position": "FNP/PMHNP",
        "authorized_official_telephone_number": "801-618-7370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.