Kirsten Maughan, R.D.

Individual provider Active NPI Registered Dietitian · Nibley, UT

NPI 1982579595 · NPPES record last updated Oct 6, 2025

Key facts

NPI
1982579595
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
5251990-4901 (UT)
Practice address
2330 Sunrise CT
Nibley, UT 84321-6778
Phone
(208) 420-9118
NPI assigned
Oct 6, 2025
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5251990-4901UTMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian
Group: 193400000X SINGLE SPECIALTY GROUP
133V00000X 5251990-4901 UT Yes

Addresses

Primary practice location

2330 Sunrise CT
Nibley, UT 84321-6778

Mailing address

3724 Jefferson St Ste 104
Austin, TX 78731-6204

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 6, 2025.

{
    "created_epoch": "1759708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1982579595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3724 JEFFERSON ST STE 104",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 SUNRISE CT",
            "city": "NIBLEY",
            "state": "UT",
            "postal_code": "843216778",
            "telephone_number": "208-420-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUGHAN",
        "first_name": "KIRSTEN",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-06",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "UT",
            "license": "5251990-4901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nibley, UT

All providers in Nibley, UT · Registered Dietitian in Utah

Sources for this page

Verify at the official NPI Registry.