Kearsta Kayleen Washburn, FNP-C
Nurse Practitioner, Family in Murray, UT. Individual provider (NPI-1).
NPI number1669968491
StatusActive
Last updated in NPPESJul 4, 2018
Details
- NPI
- 1669968491
- Entity type
- Individual (NPI-1)
- Name
- Kearsta Kayleen Washburn
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 4, 2018
- Last updated
- Jul 4, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 6224506-4405 | UT | Yes |
Practice location
835 E 4800 S Ste 230Murray, UT 84107-5535
Phone 801-716-7008
Mailing address
378 S 400 WTooele, UT 84074-2620
Phone 801-673-5756
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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