Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grace-Mae Cachero Genitiano Kelly

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1265916639

Grace-Mae Cachero Genitiano Kelly is a Nurse Practitioner in Slc, Utah. Qualified in 2019, 7 years ago. Practices with University of Utah Adult Services, a 1,740-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
7
Licensed in
UT
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

4460 S Highland Dr
Slc, UT 84124-3543
Phone: (888) 949-4864
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 6300561-4405 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1265916639
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 20, 2018
Last updated in NPPESNovember 1, 2021
Certification dateNovember 1, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice University Of Utah Adult Services — 1740 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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