Kayla Blickensderfer
NPI 1124767512 · Student in an Organized Health Care Education/Training Program · Salt Lake City, UT
Enrolled with Medicare as Order and Referring Only - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kayla Blickensderfer is a Student in an Organized Health Care Education/Training Program provider in Salt Lake City, UT (NPI 1124767512).
Provider details
- NPI number
- 1124767512
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-06-02
- Last updated
- 2022-06-02
- Certified
- 2022-06-02
Frequently asked questions
- What is Kayla Blickensderfer's NPI number?
- Kayla Blickensderfer's National Provider Identifier (NPI) is 1124767512, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kayla Blickensderfer's specialty?
- Kayla Blickensderfer is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Kayla Blickensderfer located?
- Kayla Blickensderfer's practice location on file with NPPES is 1052 E Barbara Pl, Salt Lake City, UT 84102-3111.
- What is Kayla Blickensderfer's phone number?
- The practice phone number listed in the NPPES registry for Kayla Blickensderfer is (605) 786-4904.
- Does Kayla Blickensderfer accept Medicare?
- Kayla Blickensderfer is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kayla Blickensderfer's NPI active?
- Yes — Kayla Blickensderfer's NPI (1124767512) is active in the NPPES registry as of the last update on 2022-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.