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

KELLI MARIE CLARKE
NPI 1902749302
Nurse Practitioner in Salt Lake City, UT

Q: What is Kelli Clarke's NPI number?

The NPI number for Kelli Clarke is 1902749302. It was assigned to this individual provider in the NPPES registry on April 10, 2026.

Q: What is Kelli Clarke's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelli Clarke was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 April 10, 2026

100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113(801) 662-1000 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 20, 2026, Jul 10, 2026, Apr 10, 2026 (3 updates tracked since 2026).

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About Kelli Marie Clarke NPPES

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

KELLI MARIE CLARKE (NPI 1902749302) is an individual nurse practitioner in Salt Lake City, Utah, licensed in Utah (11129491-4405) and active in the NPI registry since April 2026. She maintains a secondary practice location in Salt Lake City.

NPPES Registry Identity

NPI1902749302

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKELLI MARIE CLARKE

Location Address100 N MARIO CAPECCHI DRSalt Lake City, UT 84113-1103

Mailing AddressPo Box 30180Salt Lake City, UT 84130-0180

Phone(801) 662-1000

Sole ProprietorNo

Enumeration DateApril 10, 2026

Last NPPES UpdateJuly 20, 20263 updates tracked since enumeration

NPPES CertifiedJuly 20, 2026

✔ NPI 1902749302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in UT · 11129491-4405

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License 11129491-3102 (UT)

100 N MARIO CAPECCHI DR, Salt Lake City, UT 84113

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Secondary Practice Location 1

Location 11111 E Brickyard Rd Apt 530Salt Lake City, UT 84106-4443 · Phone (801) 662-1000

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.

KEEGAN MARIE RYAN PT, DPT

Physical Therapist