Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1952105975 Individual Practitioner Female Practitioner

Dr. Kathryn Kimberly Shaw , DNP, FNP-BC

Nurse Practitioner • Park City, UT

Professional Overview & Biography Verified Profile Summary

Dr. Kathryn Shaw, DNP, FNP-BC is a certified Nurse Practitioner practicing in Park City, UT. With approximately 2 years of clinical experience since completing medical education in 2024, Dr. Shaw delivers high-quality medical care to the local community at 1750 SIDEWINDER DR.

Dr. Shaw does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1750 Sidewinder Dr

Park City, UT 840607570

Telephone 4356497640
Fax 4356457768
Associated Practice Facility / Clinic
🏢 Ihc Health Services Inc Facility NPI 1861757478

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Park City, UT

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -3.8 yrs vs City Avg
City Avg: 5.8 Yrs
State Avg: 8.4 Yrs
Regional Practice Density
9 Specialists

Practicing in Park City, UT (1143 Statewide)

Telehealth Adoption Rate
22.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shaw (2 Years) 2 Yrs
Park City Specialty Average (5.8 Years) 5.8 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-01-15
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License UT 9848969-4405

(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.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License UT 9848969-4405

Definition to come...

Secondary Practice Locations

3315 W Mayflower Way Ste 4

Lehi, UT 840432927

Phone: 8012243031

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
Joseph Ferriter

Family Medicine

NPI 1023063575
Shari Bloom , PA-C

Physician Assistant

NPI 1053564179

Physician Assistant (Certified)

NPI 1083669204

Doctor of Medicine (M.D.)

Dr. Michael Rogowski , MD

Emergency Medicine

NPI 1225001282

Doctor of Medicine (M.D.)

Dr. Stefani Day , MD

Family Medicine

NPI 1265439236

Doctor of Medicine (M.D.)

NPI 1336362490

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location January 15, 2026

Registered at 1750 SIDEWINDER DR, PARK CITY, UT 840607570 (Tel: 4356497640)

📍
Updated Business Mailing Address January 15, 2026

Registered at PO BOX 27128, SALT LAKE CITY, UT 841270128

NPI Profile Active April 01, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location April 01, 2025

Registered at 3315 W MAYFLOWER WAY STE 4, LEHI, UT 840432927 (Tel: 8012243031)

📍
Updated Business Mailing Address April 01, 2025

Registered at 1525 N MAIN ST APT 314, BOUNTIFUL, UT 840106170 (Tel: 4357600697)

👤
Provider Name / Credentials Updated April 01, 2025

Recorded as KATHRYN SHAW, DNP, FNP-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2025

Nurse Practitioner (License #9848969-4405 in UT)

🟢
Initial NPI Registration & Enumeration April 01, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952105975
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 01, 2025
Last Update: January 15, 2026
Sole Proprietor: No

Mailing Address

Po Box 27128

Salt Lake City, UT 841270128

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.