Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KEVIN JOHN PORTAL PMHNP-BC
NPI 1780510339
Student in an Organized Health Care Education/Training Program in Salt Lake City, UT

Q: What is Kevin Portal's NPI number?

The NPI number for Kevin Portal is 1780510339. It was assigned to this individual provider in the NPPES registry on June 22, 2026.

Q: What is Kevin Portal's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kevin Portal was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 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.

Active since June 22, 2026

4001 S 700 E STE 700, SALT LAKE CITY, UT 84107(801) 274-3280 Get Directions Write a Review

NPPES record added: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kevin John Portal Pmhnp-bc NPPES

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

KEVIN JOHN PORTAL PMHNP-BC (NPI 1780510339) is an individual student in an organized health care education/training program in Salt Lake City, Utah and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1780510339

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameKEVIN JOHN PORTALCredential: PMHNP-BC

Location Address4001 S 700 E STE 700Salt Lake City, UT 84107-2533

Mailing Address101 Bidwell StGlastonbury, CT 06033-3004

Phone(801) 274-3280

Sole ProprietorNo

Enumeration DateJune 22, 2026

NPPES CertifiedJune 22, 2026

✔ NPI 1780510339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

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.

4001 S 700 E STE 700, Salt Lake City, UT 84107

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Other Providers at the Same Location NPPES 3

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

JASON MCCORD PITTS

Nurse Practitioner (Family)

4001 S 700 E STE 700
SALT LAKE CITY, UT 84107

Salt Lake County (801) 274-3280

CANDACE BAULDING

Student in an Organized Health Care Education/Training Program

4001 S 700 E STE 700
SALT LAKE CITY, UT 84107

Salt Lake County (801) 274-3280

RE'NINA STATEN

Student in an Organized Health Care Education/Training Program

4001 S 700 E STE 700
SALT LAKE CITY, UT 84107

Salt Lake County (801) 274-3280

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 Kevin Portal's NPI number?

The NPI number for Kevin Portal is 1780510339. It was assigned to this individual provider in the NPPES registry on June 22, 2026.

Where is Kevin Portal located?

Kevin Portal practices at 4001 S 700 E Ste 700, Salt Lake City, UT 84107. The listed phone number is (801) 274-3280.

What is Kevin Portal's specialty?

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

When was this NPI record last updated?

The NPPES record for Kevin Portal was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 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.