Active NPI
Kayleen Terry, A.P.R.N.
- Adult Health Nurse Practitioner
- Sandy, UT
National Provider Identifier
1992828958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 150335-4405
- Practice address
- 8160 S Highland Dr Ste 110
Sandy, UT 84093-7403 - Phone
- (801) 707-7004
- NPI assigned
- Apr 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 150335-4405 | UT | |
| Adult Health Nurse Practitioner | 363LA2200X | 150335-4405 | UT | Primary |
Addresses
Primary practice location
8160 S Highland Dr Ste 110
Sandy, UT 84093-7403
Mailing address
2223 E Valde Neige Cir
Sandy, UT 84093-1073
Phone (801) 707-7004
Other practice location 1
2223 E Valde Neige Cir
Sandy, UT 84093-1073
Phone (801) 707-7004
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000057906 | Other | UT | GROUP PIN |
| UT03672 | Other | UT | MEDICARE SUBMITTER ID NUM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2022 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150335-4405 | UT | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770595200000",
"number": "1992828958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2223 E VALDE NEIGE CIR",
"city": "SANDY",
"state": "UT",
"postal_code": "840931073",
"telephone_number": "801-707-7004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8160 S HIGHLAND DR STE 110",
"city": "SANDY",
"state": "UT",
"postal_code": "840937403",
"telephone_number": "801-707-7004"
}
],
"practiceLocations": [
{
"address_1": "2223 E Valde Neige Cir",
"address_purpose": "LOCATION",
"city": "Sandy",
"state": "UT",
"postal_code": "840931073",
"country_code": "US",
"telephone_number": "801-707-7004",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TERRY",
"first_name": "KAYLEEN",
"name_prefix": "Ms.",
"credential": "A.P.R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-06",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "UT",
"license": "150335-4405",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "UT",
"license": "150335-4405",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PIN",
"identifier": "000057906",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE SUBMITTER ID NUM",
"identifier": "UT03672",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sandy, UT
- Michelle L Taylor, DDS
- Robin Taylor, RN, BSN
- Stephen D Taylor, MD
- Mathew R Tempest, MD
- Brian James Terry, DPT
- Caitlin Michelle Tetherow, OTD
- The Addiction Medicine Physicians Group, LLC
- The Cataract Vision Institute LLC
- The Dr. Dale B. Hull Foundation for Neurological Rehabilitation, Inc.
- The Health Spot, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.