IndividualActive
Kimberly Smith, FNP-C
NPI 1205576022 · Family Nurse Practitioner · Salt Lake City, UT
Provider details
- NPI number
- 1205576022
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 11609135-4405 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(60/100 index)
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
100% 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
295 Chipeta Way
Salt Lake City, UT 84108-4706
Phone: (801) 588-8276
Fax: (801) 587-7539
Street-level locationGet directions
Mailing address
295 Chipeta Way
Salt Lake City, UT 84108-1287
Registry dates
- Enumerated
- 2022-03-30
- Last updated
- 2024-12-08
- Certified
- 2024-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.