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MRS. RAEANNA KIRK RN
NPI 1124096417
Registered Nurse - Psychiatric/Mental Health, Child & Adolescent in Draper, UT

Active since March 10, 2006
11706 S 700 E, DRAPER, UT 84020(801) 963-4200 Get Directions Write a Review

NPPES record last updated: June 8, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Raeanna Kirk Rn NPPES

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

MRS. RAEANNA KIRK RN (NPI 1124096417) is an individual psychiatric/mental health, child & adolescent provider in Draper, Utah, licensed in Utah (3082894-3102) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1124096417
Entity TypeIndividualFemale
Primary Taxonomy163WP0807X
Provider Legal NameMRS. RAEANNA KIRKCredential: RN
Location Address11706 S 700 EDraper, UT 84020-9365
Mailing Address11706 S 700 EDraper, UT 84020-9365
Phone(801) 963-4200
Sole ProprietorNo
Enumeration DateMarch 10, 2006
Last NPPES UpdateJune 8, 2010
✔ NPI 1124096417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, Child & AdolescentNursing Service Providers
Taxonomy Code163WP0807X
License✔ Licensed in UT · 3082894-3102
11706 S 700 E, Draper, UT 84020
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Other Providers at the Same Location NPPES 4

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

EMILY FABER LCSW
Social Worker (Clinical)
11706 S 700 E
DRAPER, UT 84020
Salt Lake County (801) 523-3479
GATEWAY ACADEMY LLC DRAPER
Psychiatric Residential Treatment Facility
11706 S 700 E
DRAPER, UT 84020
Salt Lake County (801) 523-3479
DAVID D BORBA CSW
Social Worker (Clinical)
11706 S 700 E
DRAPER, UT 84020
Salt Lake County (801) 553-2436
COMMUNITY COLLECTIVE, LLC
Psychiatric Residential Treatment Facility
11706 S 700 E
DRAPER, UT 84020
Salt Lake County (801) 523-3479

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 Raeanna Kirk's NPI number?

The NPI number for Raeanna Kirk is 1124096417. It was assigned to this individual provider in the NPPES registry on March 10, 2006.

Where is Raeanna Kirk located?

Raeanna Kirk practices at 11706 S 700 E, Draper, UT 84020. The listed phone number is (801) 963-4200.

What is Raeanna Kirk's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, Child & Adolescent, with taxonomy code 163WP0807X.

When was this NPI record last updated?

The NPPES record for Raeanna Kirk was last updated on June 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.