Individual provider Active NPI

Nicole Kristine Hewett, MD

  • Pediatrics Physician
  • Salt Lake City, UT
National Provider Identifier
1982131595
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
13944363-1205 Issued in UT
Practice address
7138 S 2000 E Ste 106
Salt Lake City, UT 84121-3775
Phone
(801) 942-1800
Fax
(801) 944-1865
NPI assigned
May 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME150803 FL
Pediatrics Physician 208000000X 13944363-1205 UT Primary

Addresses

Primary practice location

7138 S 2000 E Ste 106
Salt Lake City, UT 84121-3775

Mailing address

9071 S 1300 W Ste 205
West Jordan, UT 84088-6725
Phone (801) 453-9625

Other names 1

  • Nicole Kristine Flores Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240717000006 UT Practitioner - Pediatric Medicine 2365711637 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME150803FLMDPediatrics Physician
13944363-1205UTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers, Inc. Pediatrics CurrentSince Jun 1, 2024 Accepting new patients
Community Health Centers, Inc. Pediatrics Current Accepting new patients
Community Health Centers, Inc. Pediatrics CurrentSince Jun 1, 2024 Accepting new patients
Community Health Centers, Inc. Pediatrics Past Accepting new patients
Wasatch Pediatrics, Inc Pediatrics Past Accepting new patients

Locations

220 W 7200 S
Ste A
Midvale, UT 84047
Phone (801) 566-5494

1365 W 1000 N
Slc, UT 84116
Phone (801) 328-5750

4745 S 3200 W
Taylorsville, UT 84129
Phone (801) 964-6214

1455 W 2200 S
Ste 300
West Valley City, UT 84119
Phone (801) 231-6986

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACFCAA

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1982131595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9071 S 1300 W STE 205",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840886725",
            "telephone_number": "801-453-9625",
            "fax_number": "801-944-7347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7138 S 2000 E STE 106",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841213775",
            "telephone_number": "801-942-1800",
            "fax_number": "801-944-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEWETT",
        "first_name": "NICOLE",
        "middle_name": "KRISTINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-12",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME150803",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "UT",
            "license": "13944363-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "FLORES",
            "middle_name": "KRISTINE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.