Kimberly Yadid Juarez Reyes
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Kearns, UT
NPI 1972453348 · NPPES record last updated Feb 3, 2026
Key facts
- NPI
- 1972453348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 4946 S la Brea St
Kearns, UT 84118-7214 - Phone
- (385) 212-7953
- NPI assigned
- Feb 3, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
4946 S la Brea St
Kearns, UT 84118-7214
Mailing address
4946 S la Brea St
Kearns, UT 84118-7214
Other providers in Kearns, UT
- Robert Morrison James
- Faeiza Javed
- Nabila Javed
- Dori Jimenez
- Kendra Johnson
- Stewart Lloyd Karren
- Makylah Jean Ladd
- Linguistica International
- Varonica Lyn Little
- McCall Bowcut Lyon
All providers in Kearns, UT · Student in an Organized Health Care Education/Training Program in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.