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KATIE ELAINE RIDGE MCKINNON
NPI 1811624513
Physician Assistant in Provo, UT

Active since August 02, 2022
1900 N STATE ST STE 105, PROVO, UT 84604(801) 655-5245 Get Directions Write a Review

NPPES record last updated: January 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 8, 2023, Dec 10, 2022, Nov 16, 2022 and 1 more (4 updates tracked since 2022).

About Katie Elaine Ridge Mckinnon NPPES

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

KATIE ELAINE RIDGE MCKINNON (NPI 1811624513) is an individual physician assistant in Provo, Utah, licensed in Utah (13072448-1206) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1811624513
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATIE ELAINE RIDGE MCKINNON
Location Address1900 N STATE ST STE 105Provo, UT 84604-1354
Mailing Address1281 Cherry LnProvo, UT 84604-3622 · (909) 915-4077
Phone(801) 655-5245
Sole ProprietorNo
Enumeration DateAugust 2, 2022
Last NPPES UpdateJanuary 8, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2023
✔ NPI 1811624513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in UT · 13072448-1206
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1900 N STATE ST STE 105, Provo, UT 84604
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Other Providers at the Same Location NPPES 5

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

CHASE BAZIL CRNA
Nurse Anesthetist, Certified Registered
1900 N STATE ST STE 105
PROVO, UT 84604
Utah County (801) 655-5245
MRS. CHELSEY LYNNE COOK APRN, FNP-C
Family Medicine
1900 N STATE ST STE 105
PROVO, UT 84604
Utah County (801) 655-5245
ANDREW MOORE
Obstetrics & Gynecology (Reproductive Endocrinology)
1900 N STATE ST STE 105
PROVO, UT 84604
Utah County (801) 655-5245
BROOKE BAZIL MSN, CRNA
Nurse Anesthetist, Certified Registered
1900 N STATE ST STE 105
PROVO, UT 84604
Utah County (801) 655-5245
VALLEY OBSTETRICS AND GYNECOLOGY, P.C.
Obstetrics & Gynecology (Reproductive Endocrinology)
1900 N STATE ST STE 105
PROVO, UT 84604
Utah County (801) 655-5245

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 Katie Mckinnon's NPI number?

The NPI number for Katie Mckinnon is 1811624513. It was assigned to this individual provider in the NPPES registry on August 2, 2022.

Where is Katie Mckinnon located?

Katie Mckinnon practices at 1900 N State St Ste 105, Provo, UT 84604. The listed phone number is (801) 655-5245.

What is Katie Mckinnon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

What insurance does Katie Mckinnon accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Katie Mckinnon 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 Katie Mckinnon was last updated on January 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.