Healthcare Provider Details

I. General information

NPI: 1053000646
Provider Name (Legal Business Name): KARA VICKERS RIPPLINGER CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2023
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1886 W 800 N
PLEASANT GROVE UT
84062-4097
US

IV. Provider business mailing address

1055 N 500 W
PROVO UT
84604-3305
US

V. Phone/Fax

Practice location:
  • Phone: 801-756-5288
  • Fax: 801-756-7589
Mailing address:
  • Phone: 801-354-8225
  • Fax: 801-418-0941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number9132372-4402
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code163WX0003X
TaxonomyInpatient Obstetric Registered Nurse
License Number9132372-3102
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: