KATHLEEN ANN MACK ARNP NPI 1326211624

NPI Information

NPI: 1326211624
Provider Name: KATHLEEN ANN MACK, ARNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: VALLEY MENTAL HEALTH INCORPORATED

PECOS Registration: Yes

Address:
4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT
ZIP 84124
Phone: (888) 949-4864
Get Directions

Kathleen Ann Mack, ARNP is a family nurse practitioner in Salt Lake City, UT with 20 years of experience. Kathleen Ann Mack, ARNP NPI is 1326211624. 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:

4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT
ZIP 84124-550
Phone: (888) 949-4864

The NPI 1326211624 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 4/8/2008 and was last updated on 11/11/2020.

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	163WP0808X	Registered Nurse	Psychiatric/Mental Health	RN00106768	WASHINGTON	No
2	363LF0000X	Nurse Practitioner	Family	8636044-4405	UTAH	Yes
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP30008033	WASHINGTON	No

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: 11/14/2023

NPI Synchronization or Removal

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