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

Kristin Sandra Gentile

Individual provider Family Nurse Practitioner · NPI 1952977159

Kristin Sandra Gentile is a Nurse Practitioner in Salt Lake City, Utah. Qualified in 2023, 3 years ago. Practices with Southwest Spine and Pain Care Specialists LLC, a 42-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
3
Licensed in
UT
In the registry since
2021
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Practice location Address checks out

1840 S 1300 E
Salt Lake City, UT 84105-3697
Phone: (801) 832-2200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1716 N Highway 40 Ste 201, Heber City, UT 84032-4677 — (435) 709-4202

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 9512894-4405 (UT)

Record details

NPI number1952977159
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 28, 2021
Last updated in NPPESJune 25, 2025
Certification dateJune 25, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Southwest Spine And Pain Care Specialists Llc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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