Kelly Lee Kelso is a Nurse Practitioner practicing in Salt Lake City, Utah. The National Provider Identifier (NPI) is #1497088363, which was assigned on September 10, 2009, and the registration record was last updated on February 18, 2026. The practitioner's main practice location is at 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103; the contact telephone number is 8016621000. The primary taxonomy of Kelly Lee Kelso is Nurse Practitioner (363L00000X). Kelly Lee Kelso is licensed to practice in the state of Utah (#281054-4405).
(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.
| NPI | 1497088363 |
| Entity Type | Individual |
| Provider Name | MS. KELLY LEE KELSO |
| Gender | Female |
| Credential | CPNP |
| Practice Address |
100 N Mario Capecchi Dr Salt Lake City UT 84113-1103 |
| Practice Telephone | 8016621000 |
| Mailing Address |
Po Box 30180 Salt Lake City UT 84130-0180 |
| Certification Date | 2026-02-18 |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2026-02-18 |
| Is Sole Proprietor | N |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 281054-4405 | UT |
| Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| Classification | Nurse Practitioner |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| 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. |
| Notes: Source: (1) American Nurses' Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
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|---|---|---|---|
| Alexa Lanza | 355 Venetia Way, Oceanside, CA 92057-7658 | Nurse Practitioner | 2026-06-05 |
| Yessenia Isamar Ortega Ramirez | 15603 Hawthorne Blvd, Lawndale, CA 90260-2639 | Nurse Practitioner | 2026-06-05 |
| Donna Renee Peeper | 812 N Arkansas Ave, Russellville, AR 72801-3867 | Nurse Practitioner | 2026-06-05 |
| Katlin Nicole Duncan | 2401 W University Ave, Muncie, IN 47303-3428 | Nurse Practitioner | 2026-06-05 |
| Ian Maria Bernadine Ubalde | 300a University Blvd, Round Rock, TX 78665-1032 | Nurse Practitioner | 2026-06-05 |
| Courtney Shauntrell Jones | 3495 Bailey Ave, Buffalo, NY 14215-1129 | Nurse Practitioner | 2026-06-05 |
| Balance Family & Behavioral Health LLC | 1108 3rd Ave Ste 203, Huntington, WV 25701-1568 | Nurse Practitioner | 2026-06-05 |
| Rose Paulemont | 169 Martin Ave, Ephrata, PA 17522-1734 | Nurse Practitioner | 2026-06-05 |
| Gabriela Jeanette Navarrette | 5004 N Breanna St, Hobbs, NM 88242-9814 | Nurse Practitioner | 2026-06-06 |
| Janet Lynn Walt | 6939 Cox Rd, Liberty Township, OH 45069-7595 | Nurse Practitioner | 2026-06-05 |
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| Street Address |
100 N MARIO CAPECCHI DR |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84113-1103 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Mackenzie Clark | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | Registered Nurse | 2026-04-13 |
| Lija Jones | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | Speech-Language Pathologist | 2026-05-12 |
| Sara Jeanne Knight | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | Physical Therapist | 2026-01-14 |
| Brian Wyrowski | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | Pediatric Pharmacist | 2026-05-18 |
| Colton Poplawski | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | Student in an Organized Health Care Education/Training Program | 2026-03-24 |
| Sara Schmidt | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | Mental Health Counselor | 2026-01-12 |
| Amanda Chamberlain | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | Neonatal Intensive Care Registered Nurse | 2026-02-20 |
| Sarah Anne Rosamond Smith | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | Pediatrics Physician | 2023-03-27 |
| Taryn Banfield | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | Physical Therapist | 2026-05-07 |
| Samantha Payne | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | Nurse Practitioner | 2026-03-13 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Kimberly Sara Tonin Simpson | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | Neonatal Nurse Practitioner | 2008-11-13 |
| Molly Marie Andersen | 100 Mario Capecci Dr, Slc, UT 84113-1103 | Pediatric Nurse Practitioner | 2008-09-19 |
| Dennis Johnson | 100 Mario Capecchi Dr, Dept. of Pathology, Slc, UT 84113-1103 | Clinical Molecular Genetics Physician | 2014-07-07 |
| Michael Shaun Machen | 100 Mario Capecchi Dr # 4550, Salt Lake City, UT 84113-1103 | Orthopaedic Surgery Physician | 2006-02-28 |
| Bhanu Muniyappa | 100 Mario Capecchi Dr, Pediatrics Residency Program, Salt Lake City, UT 84113-1103 | Pediatrics Physician | 2014-04-01 |
| Jeffery Zobell | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | Pharmacist | 2014-10-17 |
| Erin Jessica Isenberg · Erin Jessica Sweeney | 100 N Medical Drive, Salt Lake City, UT 84113-1103 | Physician Assistant | 2008-11-13 |
| John F. Pohl | 100 North Mario Capecchi Drive, Suite 2650, Salt Lake City, UT 84113-1103 | Pediatrics Physician | 2006-03-31 |
| Bonnie Larsen | 100 Mario Capecchi Dr, Slc, UT 84113-1103 | Neurorehabilitation Occupational Therapist | 2014-08-20 |
| Ihc Health Services Inc | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 2014-11-17 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Ashley Stuart · Ashley Stevens | 44 North Mario Capecchi Drive, Salt Lake City, UT 84113 | School Psychologist | 2017-07-19 |
| Theresa A Holden | 44 Medical Drive, Salt Lake, UT 84113 | Pediatric Physical Therapist | 2006-10-02 |
| Dana Boucek | 100 North Mario Capecchi Dr., Primary Children's, Salt Lake City, UT 84113 | Pediatric Cardiology Physician | 2011-04-26 |
| Sajid Faizi | University of Utah, Department of Psychiatry, Salt Lake City, UT 84113 | Psychiatry Physician | 2006-07-30 |
| Patricia Ann Jones | 100 No. Medical Drive, Attn Same Day Surgery, Salt Lake City, UT 84113 | Nurse Practitioner | 2008-09-30 |
| Hailey Calkins | 1850 E 250 S Hper West, Room 113, Salt Lake City, UT 84113 | Student in an Organized Health Care Education/Training Program | 2023-09-22 |
| Justin C Wheeler | 81 N Mario Capecchi Dr Fl 4, Salt Lake City, UT 84113 | Student in an Organized Health Care Education/Training Program | 2011-04-29 |
| Karin L. Hoeg | 100 No. Mario Capecchi Dr., Salt Lake City, UT 84113 | Pediatric Radiology Physician | 2006-08-15 |
| Melissa Marie Dixon | Primary Children's Hospital Outpatient Services, 81 South Mario Capecchi Drive, Salt Lake City, UT 84113 | Psychologist | 2018-10-31 |
| Anna Katherine Eyre Ermarth | 81 Mario Capecchi, Salt Lake City, UT 84113 | Pediatric Gastroenterology Physician | 2010-03-30 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Kelly Marie Hoyos · Kelly Nelson | 3551 Mcknight Rd N, White Bear Lake, MN 55110-5575 | Clinical Social Worker | 2026-04-30 |
| Kelly Goldstein · Kelly Hill | 2910 Bobolink Rd, Delray Beach, FL 33444-1829 | Pharmacist | 2026-04-17 |
| Kelly Johnson · Kelly Smith | 6510 Town Center Dr Ste E, Clarkston, MI 48346-4822 | Behavior Technician | 2026-04-20 |
| Kari Lynn Kelso | 114 Main St N Ste 210b, Hutchinson, MN 55350-1819 | Mental Health Counselor | 2026-05-04 |
| Shania Kelso | 9802 Nicholas St Ste 395, Omaha, NE 68114-2168 | Behavior Technician | 2026-05-28 |
| Venus Lenice Kelso | 703 E 14 Mile Rd, Birmingham, MI 48009-2093 | Mental Health Counselor | 2026-04-14 |
| Taylor Nichole Kelso | 440 Stuart Rd Ne Ste 2, Cleveland, TN 37312-4959 | Behavior Technician | 2026-06-03 |
| Kelly Junco · Kelly Fitzgerald | 357 S Gulph Rd Ste 260, King of Prussia, PA 19406-3739 | Mental Health Counselor | 2026-04-03 |
| Kathleen 'Kelly' Marie Johnson Donohue · Kelly Donohue | 325 Penn Rd Unit 551, Wynnewood, PA 19096-1464 | Psychologist | 2026-05-11 |
| Kelly Ann Maas · Kelly Ann Kitchens | 1415 East Green Bay St., Ste 191 Synergy Counseling Services, Sc, Shawano, WI 54166-3881 | Counselor | 2006-10-17 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |