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Katie Martindale , SUDC

Peer Specialist β€’ Midvale, UT

Active NPI 1861238487 Individual Practitioner Female Practitioner
Practice location in NPPES

1042 E Fort Union Blvd # 264
Midvale, UT 840471800

Call 3853883006 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1042 E Fort Union Blvd # 264

Midvale, UT 840471800

Telephone 3853883006

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Midvale and Utah

9 active clinicians are listed under Peer Specialist with a practice address in Midvale, UT (470 in Utah).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-02-26
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

License # reported to NPPES UT 111111111

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Utah Division of Professional Licensing.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location February 26, 2026

Registered at 1042 E FORT UNION BLVD # 264, MIDVALE, UT 840471800 (Tel: 3853883006)

πŸ“
Updated Business Mailing Address February 26, 2026

Registered at 1042 E FORT UNION BLVD # 264, MIDVALE, UT 840471800 (Tel: 3853883006)

πŸ‘€
Provider Name / Credentials Updated February 26, 2026

Recorded as KATIE MARTINDALE, SUDC

βœ…
NPI Profile Active July 03, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 03, 2024

Registered at 91 E FORT UNION BLVD, MIDVALE, UT 840471531 (Tel: 3853883006)

πŸ“
Business Mailing Address (Initial Record) July 03, 2024

Registered at 91 E FORT UNION BLVD, MIDVALE, UT 840471531 (Tel: 8015691995)

πŸ‘€
Provider Name / Credentials (Initial Record) July 03, 2024

Recorded as KATIE MARTINDALE, CPSS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2024

Peer Specialist (license number reported to NPPES: UT 111111111)

🟒
Initial NPI Registration & Enumeration July 03, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1861238487
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 03, 2024
Last Update: February 26, 2026
Sole Proprietor: No

Mailing Address

1042 E Fort Union Blvd # 264

Midvale, UT 840471800

Phone: 3853883006

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.