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

Katelyn Siano

Individual provider Family Nurse Practitioner · NPI 1780209668

Katelyn Siano is a Nurse Practitioner in Provo, Utah. Qualified in 2020, 6 years ago. Practices with Revere Health PC, a 410-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
6
Licensed in
UT
In the registry since
2020
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Practice location Address checks out

1055 N 500 W Ste 205 Bldg C
Provo, UT 84604
Phone: (801) 429-8095
Fax: (801) 354-8265
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1429 S 1600 W, Mapleton, UT 84664-4210 — (801) 853-3700
  • 1055 N 500 W, Provo, UT 84604 — (801) 354-8225
  • 5 E 400 N, Springville, UT 84663-1347 — (801) 489-8464

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 6159237-4405 (UT)

Record details

NPI number1780209668
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 16, 2020
Last updated in NPPESMarch 11, 2024
Certification dateMarch 11, 2024
Mailing address1055 N 500 W, Attn Credentialing, Provo, UT 84604

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Provo