Individual provider Active NPI

Kayleen Terry, A.P.R.N.

  • Adult Health Nurse Practitioner
  • Sandy, UT
National Provider Identifier
1992828958
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
150335-4405 Issued in UT
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

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000057906OtherUTGROUP PIN
UT03672OtherUTMEDICARE 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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
150335-4405UTMDGerontology 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

Sources for this page

Verify at the official NPI Registry.