MS. KAYLEEN TERRY A.P.R.N. NPI 1992828958

NPI Information

NPI: 1992828958
Provider Name: MS. KAYLEEN TERRY, A.P.R.N.
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
5323 WOODROW ST
STE 102
MURRAY, UT
ZIP 84107
Phone: (801) 713-1010
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MS. Kayleen Terry, A.P.R.N. is an adult health nurse practitioner in Murray, UT. MS. Kayleen Terry, A.P.R.N. NPI is 1992828958. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5323 WOODROW ST
STE 102
MURRAY, UT
ZIP 84107-841
Phone: (801) 713-1010
Fax: (801) 713-0665

The NPI 1992828958 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/6/2007 and was last updated on 4/21/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	150335-4405	UTAH	No
2	363LA2200X	Nurse Practitioner	Adult Health	150335-4405	UTAH	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	UT03672	OTHER	UTAH	MEDICARE SUBMITTER ID NUM
2	005790604	MEDICARE PIN	UTAH
3	Q40520	MEDICARE UPIN	UTAH
4	000057906	OTHER	UTAH	GROUP PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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