What is Kyrstanne Idom's NPI number?

Kyrstanne Idom's National Provider Identifier (NPI) is 1659248953, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kyrstanne Idom's specialty?

Kyrstanne Idom is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).

Where is Kyrstanne Idom located?

Kyrstanne Idom's practice location on file with NPPES is 228 S Tawny Dr, Grantsville, UT 84029-5028.

What is Kyrstanne Idom's phone number?

The practice phone number listed in the NPPES registry for Kyrstanne Idom is (801) 580-9139.

Is Kyrstanne Idom's NPI active?

Yes — Kyrstanne Idom's NPI (1659248953) is active in the NPPES registry as of the last update on 2025-10-21.

IndividualActive

Kyrstanne Idom, PA

NPI 1659248953 · Physician Assistant · Grantsville, UT

Kyrstanne Idom, PA is a Physician Assistant provider in Grantsville, UT (NPI 1659248953).

Provider details

NPI number: 1659248953
Entity type: Individual
Primary specialty: Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Credential: PA
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Physician AssistantPrimary363A00000X
Physician Assistants & Advanced Practice Nursing Providers

Profile Score

Basic profile(47/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in 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

228 S Tawny Dr

Grantsville, UT 84029-5028

Phone: (801) 580-9139

Street-level locationGet directions

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Mailing address