Individual provider · Type 1 NPI

Katie Nicholls, PA-C

Physician Assistant · South Salt Lake, UT

NPI number 1851866735 Active

Practice location

3690 S Main St
South Salt Lake, UT 84115-4423

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X10970425-1206 (UT)
Physician Assistant Primary 363A00000X10970425-1206 (UT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

9 other providers at this address

Other physician assistant providers in South Salt Lake

See all in South Salt Lake →

About NPI 1851866735

Katie Nicholls, PA-C's National Provider Identifier is 1851866735, issued on Oct 8, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in South Salt Lake, UT. The record was last updated on Mar 16, 2026.