HARRIET ELIZABETH KOBALL DO
NPI 1093516288
Student in an Organized Health Care Education/Training Program in Salt Lake City, UT

Active since March 24, 2025PECOS Enrolled
1250 E 3900 S STE 260, SALT LAKE CITY, UT 84124(801) 265-2000 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 16, 2025, Mar 24, 2025 (2 updates tracked since 2025).

About Harriet Elizabeth Koball Do NPPES

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

HARRIET ELIZABETH KOBALL DO (NPI 1093516288) is an individual student in an organized health care education/training program in Salt Lake City, Utah, licensed in Utah (NONE) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, is affiliated with St Mark's Hospital, and is a graduate of Rocky Vista University College Of Osteopathic Med (2025).

NPPES Registry Identity

NPI1093516288
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameHARRIET ELIZABETH KOBALLCredential: DO
Location Address1250 E 3900 S STE 260Salt Lake City, UT 84124-1371
Mailing Address1250 E 3900 S Ste 260Salt Lake City, UT 84124-1371 · (801) 265-2000
Sole ProprietorNo
Medical School CMSRocky Vista University College Of Osteopathic MedGraduated 2025
Enumeration DateMarch 24, 2025
Last NPPES UpdateJune 16, 20252 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
✔ NPI 1093516288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License✔ Licensed in UT · NONE
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1250 E 3900 S STE 260, Salt Lake City, UT 84124

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Harriet Elizabeth Koball Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981165909
PECOS Enrollment IDI20260909004363
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Mark's Hospital

Acute Care Hospitals · Salt Lake City, UT
3/5 CMS rating
OwnershipProprietary
CMS Certification Number460047
Location1200 East 3900 SouthSalt Lake City, UT 84124 · Salt Lake County
Emergency services Birthing friendly

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.

Student in an Organized Health Care Education/Training Program
1250 E 3900 S STE 260
SALT LAKE CITY, UT 84124
Student in an Organized Health Care Education/Training Program
1250 E 3900 S STE 260
SALT LAKE CITY, UT 84124
Family Medicine
1250 E 3900 S STE 260
SLC, UT 84124
Nurse Practitioner (Family)
1250 E 3900 S STE 260
SALT LAKE CITY, UT 84124
Nurse Practitioner (Family)
1250 E 3900 S STE 260
SALT LAKE CITY, UT 84124
Family Medicine
1250 E 3900 S STE 260
SALT LAKE CITY, UT 84124
Student in an Organized Health Care Education/Training Program
1250 E 3900 S STE 260
SALT LAKE CITY, UT 84124
Nurse Practitioner (Family)
1250 E 3900 S STE 260
SALT LAKE CITY, UT 84124

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 Harriet Koball's NPI number?

The NPI number for Harriet Koball is 1093516288. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Where is Harriet Koball located?

Harriet Koball practices at 1250 E 3900 S Ste 260, Salt Lake City, UT 84124. The listed phone number is (801) 265-2000.

What is Harriet Koball's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Harriet Koball enrolled in Medicare?

Yes. Harriet Koball is registered in the Medicare PECOS enrollment system.

Is Harriet Koball affiliated with any hospitals?

According to CMS data, Harriet Koball is affiliated with St Mark's Hospital.

When was this NPI record last updated?

The NPPES record for Harriet Koball was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.