Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811624513 Individual Practitioner Female Practitioner

Katie Elaine Ridge Mckinnon

Physician Assistant • Provo, UT

Professional Overview & Biography Verified Profile Summary

Katie Mckinnon is a registered healthcare professional specializing in Physician Assistant in Provo, UT. Practice services are available at 1900 N STATE ST STE 105 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1900 N State St Ste 105

Provo, UT 846041354

Telephone 8016555245
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Provo, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.1 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
147 Specialists

Practicing in Provo, UT (1904 Statewide)

Telehealth Adoption Rate
19.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-01-08
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License UT 13072448-1206

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

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

4 Associated Practitioners
Chase Bazil , CRNA

Nurse Anesthetist, Certified Registered

NPI 1063961928

Certified Registered Nurse Anesthetist

NPI 1093592545

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Andrew Moore

Obstetrics & Gynecology - Reproductive Endocrinology

NPI 1386866572
Brooke Bazil , MSN, CRNA

Nurse Anesthetist, Certified Registered

NPI 1447630009

Master of Science in Nursing, Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location January 08, 2023

Registered at 1900 N STATE ST STE 105, PROVO, UT 846041354 (Tel: 8016555245)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 10, 2022

Physician Assistant (License #13072448-1206 in UT)

NPI Profile Active August 02, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location August 02, 2022

Registered at 1281 CHERRY LN, PROVO, UT 846043622 (Tel: 9099154077)

📍
Updated Business Mailing Address August 02, 2022

Registered at 1281 CHERRY LN, PROVO, UT 846043622 (Tel: 9099154077)

👤
Provider Name / Credentials Updated August 02, 2022

Recorded as KATIE MCKINNON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration August 02, 2022

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: 1811624513
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 02, 2022
Last Update: January 08, 2023
Sole Proprietor: No

Mailing Address

1281 Cherry Ln

Provo, UT 846043622

Phone: 9099154077

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.