Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Katherine Renae Tingey, DNP-FNP

Individual provider Family Nurse Practitioner · NPI 1316702806

Dr. Katherine Renae Tingey, DNP-FNP is a Nurse Practitioner in Salt Lake City, Utah. Qualified in 2024, 2 years ago. Practices with Mountainstar Medical Group Neurosurgery - St Marks LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
2
Licensed in
UT
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

1200 E 3900 S
Salt Lake City, UT 84124-1300
Phone: (801) 268-7111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 10395769-4405 (UT)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 10395769-4405 (UT)

Record details

NPI number1316702806
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP-FNP
Sole proprietorNo
NPI enumeratedFebruary 14, 2024
Last updated in NPPESMarch 11, 2025
Certification dateMarch 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Mountainstar Medical Group Neurosurgery - St Marks Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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