KAITLAN LEIGH RICKETT PA-C NPI 1851801005

NPI Information

NPI: 1851801005
Provider Name: KAITLAN LEIGH RICKETT, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
50 N MEDICAL DR
SALT LAKE CITY, UT
ZIP 84132
Phone: (801) 581-2121
Get Directions

Kaitlan Leigh Rickett, PA-C is a medical physician assistant in Salt Lake City, UT. Kaitlan Leigh Rickett, PA-C NPI is 1851801005. 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:

50 N MEDICAL DR
SALT LAKE CITY, UT
ZIP 84132-001
Phone: (801) 581-2121

The NPI 1851801005 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 10/2/2017 and was last updated on 11/15/2021.

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	363AM0700X	Physician Assistant	Medical	10535174-1206	UTAH	Yes
2	363A00000X	Physician Assistant		10535174-1206	UTAH	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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