1. Home
  2. Directory
  3. Utah
  4. Salt Lake City
  5. Peer Specialist
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RYAN CONRAD KIDRICK
NPI 1083430680
Peer Specialist in Salt Lake City, UT

Active since November 27, 2024
117 W 400 S, SALT LAKE CITY, UT 84101(801) 428-4257 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Ryan Conrad Kidrick NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RYAN CONRAD KIDRICK (NPI 1083430680) is an individual peer specialist in Salt Lake City, Utah and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1083430680
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameRYAN CONRAD KIDRICK
Location Address117 W 400 SSalt Lake City, UT 84101-1916
Mailing Address117 W 400 SSalt Lake City, UT 84101-1916 · (801) 428-4257
Phone(801) 428-4257
Sole ProprietorYes
Enumeration DateNovember 27, 2024
Last NPPES UpdateSeptember 30, 2026
NPPES CertifiedSeptember 30, 2026
✔ NPI 1083430680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
117 W 400 S, Salt Lake City, UT 84101
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIRANDA LEIGH RANKIN
Community Health Worker
117 W 400 S
SALT LAKE CITY, UT 84101
Salt Lake County (801) 428-4257
DIANA RACHEL FIERRO
Community Health Worker
117 W 400 S
SALT LAKE CITY, UT 84101
Salt Lake County (801) 428-4257
KERRI ANN PAVLICA
Community Health Worker
117 W 400 S
SALT LAKE CITY, UT 84101
Salt Lake County (801) 428-4257
NICHOLAS DAVID MCCLEERY
Community Health Worker
117 W 400 S
SALT LAKE CITY, UT 84101
Salt Lake County (801) 428-4257
DELANEY TYLER BARCLAY
Community Health Worker
117 W 400 S
SALT LAKE CITY, UT 84101
Salt Lake County (801) 428-4257
RYAN KEITH HODSON
Community Health Worker
117 W 400 S
SALT LAKE CITY, UT 84101
Salt Lake County (801) 428-4257
STACEY ANN RIVERA
Community Health Worker
117 W 400 S
SALT LAKE CITY, UT 84101
Salt Lake County (801) 428-4257
JEREMY ED CHRISTENSEN
Community Health Worker
117 W 400 S
SALT LAKE CITY, UT 84101
Salt Lake County (801) 428-4257

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Kidrick's NPI number?

The NPI number for Ryan Kidrick is 1083430680. It was assigned to this individual provider in the NPPES registry on November 27, 2024.

Where is Ryan Kidrick located?

Ryan Kidrick practices at 117 W 400 S, Salt Lake City, UT 84101. The listed phone number is (801) 428-4257.

What is Ryan Kidrick's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Ryan Kidrick was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.