Individual provider Active NPI

Kacie Doyle-Delgado, FNP-C

  • Family Nurse Practitioner
  • Sandy, UT
National Provider Identifier
1932629946
Registry record updated Jun 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8644351-4405 Issued in UT
Practice address
9500 S 1300 E
Sandy, UT 84094-3763
Phone
(801) 501-2100
NPI assigned
Jun 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 8644351-3102 UT
Family Nurse Practitioner 363LF0000X 8644351-4405 UT Primary

Addresses

Primary practice location

9500 S 1300 E
Sandy, UT 84094-3763

Mailing address

2262 E 4160 S
Holladay, UT 84124-3400

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
I20170801003698 UT Practitioner - Nurse Practitioner 0143591636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utah Physicians Care Centers PCGroup PAC ID 3971404963, 11 clinicians

Practice addresses (Care Compare)

1160 E 3900
Suite 1200
Salt Lake City, UT 84124-1251
Phone (801) 261-9651

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Physicians Care Centers PC Internal Medicine CurrentSince Jun 28, 2020 Accepting new patients
Utah Physicians Care Center Internal Medicine Current Accepting new patients

Locations

5630 S Waterbury Way
Ste B102
Salt Lake Cty, UT 84121
Phone (801) 261-9651

1160 E 3900 S
Ste 1200
Slc, UT 84124
Phone (801) 261-9651

Interoperability endpoints

  • Direct secure messaging: kacie.doyle-delgado.1@15147.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15147/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498003200000",
    "number": "1932629946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2262 E 4160 S",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841243400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 S 1300 E",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943763",
            "telephone_number": "801-501-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE-DELGADO",
        "first_name": "KACIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2017-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "8644351-3102",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "8644351-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

Verify at the official NPI Registry.