MRS. AMANDA SUE AL-KHUDAIRI MSN, RNC, APRN
NPI 1861613242
Nurse Practitioner - Women's Health in Salt Lake City, UT
About Mrs. Amanda Sue Al-khudairi Msn, Rnc, Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. AMANDA SUE AL-KHUDAIRI MSN, RNC, APRN (NPI 1861613242) is an individual women's health provider in Salt Lake City, Utah, licensed in Utah (372242-4405) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Amanda Sue Al-khudairi Msn, Rnc, Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84119 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WEST VALLEY CITY, UT 84119
WEST VALLEY CITY, UT 84119
WEST VALLEY CITY, UT 84119
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 Amanda Al-khudairi's NPI number?
The NPI number for Amanda Al-khudairi is 1861613242. It was assigned to this individual provider in the NPPES registry on May 1, 2007.
Where is Amanda Al-khudairi located?
Amanda Al-khudairi practices at 1906 W 3600 S, Salt Lake City, UT 84119. The listed phone number is (801) 973-9675.
What is Amanda Al-khudairi's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.
Is Amanda Al-khudairi enrolled in Medicare?
Yes. Amanda Al-khudairi is registered in the Medicare PECOS enrollment system.
What insurance does Amanda Al-khudairi accept?
Health plans from BridgeSpan Health Company, Molina Healthcare and Regence BlueCross BlueShield of Utah list Amanda Al-khudairi 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 Amanda Al-khudairi was last updated on October 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mrs. Amanda Sue Al-Khudairi, MSN, RNC, APRN · NPI 1861613242
Women's Health physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since May 1, 2007.
## Identity
- **NPI:** 1861613242 (Entity type: Individual)
- **Enumerated:** May 1, 2007
- **Primary specialty:** Nurse Practitioner - Women's Health · taxonomy 363LW0102X
- **State license:** 372242-4405 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 1906 W 3600 S, Salt Lake City, UT 84119-4715
- **Phone:** (801) 973-9675
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** October 16, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1861613242) · Data from the CMS NPPES public registry.