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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. KIMBER TRACY VAN WAGONER B.A., R.N.
NPI 1801866512
Registered Nurse - Psychiatric/Mental Health, Adult in Salt Lake City, UT

Active since January 25, 2006
1020 S MAIN ST, SALT LAKE CITY, UT 84101(801) 539-7000(801) 539-7050 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ms. Kimber Tracy Van Wagoner B.a., R.n. NPPES

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

MS. KIMBER TRACY VAN WAGONER B.A., R.N. (NPI 1801866512) is an individual psychiatric/mental health, adult provider in Salt Lake City, Utah, licensed in Utah (03081433102) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1801866512
Entity TypeIndividualFemale
Primary Taxonomy163WP0809X
Provider Legal NameMS. KIMBER TRACY VAN WAGONERCredential: B.A., R.N.
Location Address1020 S MAIN STSalt Lake City, UT 84101-3176
Mailing Address1134 E 2700 S, D 26Salt Lake City, UT 84106-2642 · (801) 486-4104
Phone(801) 539-7000
Fax(801) 539-7050
Sole ProprietorNo
Enumeration DateJanuary 25, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1801866512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, AdultNursing Service Providers
Taxonomy Code163WP0809X
License✔ Licensed in UT · 03081433102
1020 S MAIN ST, Salt Lake City, UT 84101
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Other Names 1

Professional Name (2)Ms. Kymber Tracy Van Wagoner B.a., R.n.

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.

BETHANY SELL
Case Manager/Care Coordinator
1020 S MAIN ST
SALT LAKE CITY, UT 84101
Salt Lake County (888) 949-4864
MRS. JOLYNNE MARIE LUCERO
Peer Specialist
1020 S MAIN ST
SALT LAKE CITY, UT 84101
Salt Lake County (801) 539-7000
MADELINE ELIZABETH OLSON
Counselor (Mental Health)
1020 S MAIN ST
SALT LAKE CITY, UT 84101
Salt Lake County (888) 949-4864
NAYELI ORTIZ
Case Manager/Care Coordinator
1020 S MAIN ST
SALT LAKE CITY, UT 84101
Salt Lake County (888) 949-4864
SAGE PACKER
Case Manager/Care Coordinator
1020 S MAIN ST
SALT LAKE CITY, UT 84101
Salt Lake County (888) 949-4864
MS. LYDIA M KHAI LCSW
Social Worker (Clinical)
1020 S MAIN ST
SALT LAKE CITY, UT 84101
Salt Lake County (888) 949-4864
ELISA MENDOZA
Case Manager/Care Coordinator
1020 S MAIN ST
SALT LAKE CITY, UT 84101
Salt Lake County (888) 949-4864
VALLEY MENTAL HEALTH INCORPORATED
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1020 S MAIN ST
SALT LAKE CITY, UT 84101
Salt Lake County (801) 539-7000

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 Kimber Van Wagoner's NPI number?

The NPI number for Kimber Van Wagoner is 1801866512. It was assigned to this individual provider in the NPPES registry on January 25, 2006. The provider is also known as Ms. Kymber Tracy Van Wagoner B.A., R.N..

Where is Kimber Van Wagoner located?

Kimber Van Wagoner practices at 1020 S Main St, Salt Lake City, UT 84101. The listed phone number is (801) 539-7000.

What is Kimber Van Wagoner's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, Adult, with taxonomy code 163WP0809X.

When was this NPI record last updated?

The NPPES record for Kimber Van Wagoner was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 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.