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

Kevin Dale Newbold

Individual provider Registered Nurse First Assistant · NPI 1366917577

Kevin Dale Newbold is a Nurse Practitioner in Ogden, Utah. Qualified in 2018, 8 years ago. Practices with Mountain Orthopaedics LLC, a 27-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
8
Licensed in
UT
In the registry since
2018
Specialties on file
5

Practice location Address checks out

3895 Harrison Blvd
Ogden, UT 84403-2312
Phone: (801) 387-7678
Fax: (801) 387-8538
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 201 W Layton Pkwy, Layton, UT 84041-3692 — (801) 387-7678

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 8984745-4405 (UT)
Registered Nurse First Assistant Taxonomy 163WR0006X · Licence 8984745-4405 (UT)
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X · Licence 8984745-4405 (UT)
Nurse Practitioner Taxonomy 363L00000X · Licence 8984745-4405 (UT)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 8984745-4405 (UT)

Record details

NPI number1366917577
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 4, 2018
Last updated in NPPESOctober 4, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Mountain Orthopaedics Llc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ogden