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

Mrs. Carly K Reid, FNP-S

Individual provider Family Nurse Practitioner · NPI 1356097687

Mrs. Carly K Reid, FNP-S is a Nurse Practitioner in Salt Lake City, Utah. Qualified in 2022, 4 years ago. Practices with North Idaho Dermatology Inc, a 15-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
4
Licensed in
UT
In the registry since
2022
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Practice location Address checks out

517 D St
Salt Lake City, UT 84103-2831
Phone: (954) 923-7440
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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 6600043-3102 (UT)

Record details

NPI number1356097687
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-S
Sole proprietorNo
NPI enumeratedFebruary 24, 2022
Last updated in NPPESFebruary 22, 2023
Certification dateFebruary 13, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice North Idaho Dermatology Inc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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