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KATHRYN DAVIS
NPI 1407256209
Nurse Practitioner - Family in West Valley City, UT

Active since August 28, 2014PECOS Enrolled
3540 S 4000 W, STE 340, WEST VALLEY CITY, UT 84120(801) 969-0200(801) 696-0393 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kathryn Davis NPPES

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

KATHRYN DAVIS (NPI 1407256209) is an individual family provider in West Valley City, Utah, licensed in Utah (8803729-8900) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407256209
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHRYN DAVIS
Location Address3540 S 4000 W, STE 340West Valley City, UT 84120-3260
Mailing Address3540 S 4000 W, Ste 340West Valley City, UT 84120-3260 · (801) 969-0200 · Fax (801) 696-0393
Phone(801) 969-0200
Fax(801) 696-0393
Sole ProprietorNo
Enumeration DateAugust 28, 2014
Last NPPES UpdateMarch 17, 2025
NPPES CertifiedMarch 17, 2025
✔ NPI 1407256209 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 · 8803729-8900
3540 S 4000 W, West Valley City, UT 84120
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathryn Davis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Kathryn Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Utah Community Physicians Group
2.5 mi
Family Medicine
3730 W 4700 S
Taylorsville, UT 84129
  • Reassigned Medicare billing, Utah enrollment
  • 295 clinicians in this Medicare group
NPI 1932503646 (801) 587-6336

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84120 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

DR. WARREN R STACK MD
Internal Medicine
3540 S 4000 W, 350
WEST VALLEY CITY, UT 84120
Salt Lake County (801) 968-8692
DR. THOMAS KARL BROADBENT
Dentist
3540 S 4000 W, SUITE #140
WEST VALLEY CITY, UT 84120
Salt Lake County (801) 969-6200
DR. ROBERT TAYLOR WORLD JR.
Dentist (General Practice)
3540 S 4000 W
WEST VALLEY, UT 84120
Salt Lake County (801) 969-6200
DR. TYLER S READING D.M.D.
Dentist (Pediatric Dentistry)
3540 S 4000 W, SUITE 440
WEST VALLEY, UT 84120
Salt Lake County (801) 955-5200
AURALCARE HEARING CENTERS OF AMERICA, LLC
Clinic/Center (Hearing and Speech)
3540 S 4000 W, SUITE 350
WEST VALLEY CITY, UT 84120
Salt Lake County (801) 364-8692
DR. THOMAS AUSTEN BROADBENT DMD
Dentist (General Practice)
3540 S 4000 W, SUITE #140
WEST VALLEY, UT 84120
Salt Lake County (801) 969-6200
DR. LOMBARDO F PALMA M.D, M.S.P.H
Family Medicine
3540 S 4000 W, 200
WEST VALLEY CITY, UT 84120
Salt Lake County (801) 417-8062
DR. KIM COLLEEN MAKI-WORLD
Dentist (General Practice)
3540 S 4000 W, SUITE #140
WEST VALLEY, UT 84120
Salt Lake County (801) 969-6200

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 Kathryn Davis's NPI number?

The NPI number for Kathryn Davis is 1407256209. It was assigned to this individual provider in the NPPES registry on August 28, 2014.

Where is Kathryn Davis located?

Kathryn Davis practices at 3540 S 4000 W Ste 340, West Valley City, UT 84120. The listed phone number is (801) 969-0200.

What is Kathryn Davis's specialty?

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

Is Kathryn Davis enrolled in Medicare?

Yes. Kathryn Davis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kathryn Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Davis reassigns Medicare benefits to University Of Utah Community Physicians Group (Taylorsville, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathryn Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathryn Davis accept?

Health plans from Molina Healthcare list Kathryn Davis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kathryn Davis was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.