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NP 360 Care

NPI 1356283121ActiveOrganization· Nurse Practitioner· West Jordan, UT

Nurse Practitioner in West Jordan, Utah, registered in NPPES in April 2026. The authorized official on file is Donna Kicin, AGPCNP-BC, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1356283121
StatusActive
Entity typeOrganization
NPI issuedApr 8, 2026
Last updated in NPPESApr 8, 2026
Certified by providerApr 8, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner Primary363L00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (UT)

Medicare sources and data years

Other Nurse Practitioner providers in West Jordan

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