Katie Nicholls, PA-C
Katie Nicholls, PA-C is a Physician Assistant in South Salt Lake, Utah. Qualified in 2018, 8 years ago. Practices with University of Utah Community Physicians Group, a 280-clinician group and accepts Medicare assignment. Licensed in Utah.
- Years since qualifying
- 8
- Licensed in
- UT
- In the registry since
- 2018
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
3690 S Main StSouth Salt Lake, UT 84115-4423
Phone: (801) 587-2525
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 10970425-1206 (UT) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence 10970425-1206 (UT) |
Record details
| NPI number | 1851866735 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | October 8, 2018 |
| Last updated in NPPES | March 16, 2026 |
| Certification date | March 16, 2026 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | University Of Utah Community Physicians Group — 280 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |