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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

KACIE DICKSON
NPI 1114840980
Nurse Practitioner - Family in West Haven, UT

Active since July 30, 2026
4679 W 4500 S, WEST HAVEN, UT 84401(435) 640-8106(435) 640-8106 Get Directions Write a Review

NPPES record added: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kacie Dickson NPPES

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

KACIE DICKSON (NPI 1114840980) is an individual family provider in West Haven, Utah, licensed in Utah (9267027-4405) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1114840980
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKACIE DICKSON
Location Address4679 W 4500 SWest Haven, UT 84401-9396
Mailing Address4679 W 4500 SWest Haven, UT 84401-9396
Phone(435) 640-8106
Fax(435) 640-8106
Sole ProprietorNo
Enumeration DateJuly 30, 2026
NPPES CertifiedJuly 30, 2026
✔ NPI 1114840980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in UT · 9267027-4405
4679 W 4500 S, West Haven, UT 84401
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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 Kacie Dickson's NPI number?

The NPI number for Kacie Dickson is 1114840980. It was assigned to this individual provider in the NPPES registry on July 30, 2026.

Where is Kacie Dickson located?

Kacie Dickson practices at 4679 W 4500 S, West Haven, UT 84401. The listed phone number is (435) 640-8106.

What is Kacie Dickson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kacie Dickson was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.