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Kamille Thayne , NP

Nurse Practitioner β€’ Riverton, UT

Active NPI 1457100745 Individual Practitioner Female Practitioner
Practice location in NPPES

12391 S 4000 W
Riverton, UT 840967012

Call 8013021750 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

12391 S 4000 W

Riverton, UT 840967012

Telephone 8013021750
Organization at the Same NPPES Address or Phone
Granger Medical Clinic Inc Facility NPI 1881797876

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Riverton, UT. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

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 Riverton and Utah

18 active clinicians are listed under Nurse Practitioner with a practice address in Riverton, UT (1,134 in Utah).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Riverton

16.7% of these 18 clinicians have the CMS telehealth indicator.

61.1% of these 18 clinicians are listed by CMS as accepting Medicare assignment.

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: 2026-08-06
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES UT 9421907-4405

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse - Women's Health Care, Ambulatory

NUCC Taxonomy Code: 163WW0101X

License # reported to NPPES UT 9421907-3102
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

Secondary Practice Locations

3741 W 12600 S

Riverton, UT 840657215

Phone: 8012853000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Dr. Necia Dalley , DNP

Nurse Practitioner

NPI 1124670872

Doctor of Nursing Practice

Dr. Christopher Hutchison , MD

Obstetrics & Gynecology

NPI 1134151384

Doctor of Medicine (M.D.)

Dr. Tricia Twelves , MD

Obstetrics & Gynecology

NPI 1730389297

Doctor of Medicine (M.D.)

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 August 06, 2026

Registered at 12391 S 4000 W, RIVERTON, UT 840967012 (Tel: 8013021750)

πŸ“
Updated Business Mailing Address August 06, 2026

Registered at 2965 W 3500 S, WEST VALLEY CITY, UT 841193602 (Tel: 8019653600)

πŸ‘€
Provider Name / Credentials Updated August 06, 2026

Recorded as KAMILLE THAYNE, NP

βœ…
NPI Profile Active May 17, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 17, 2024

Registered at 3741 W 12600 S, RIVERTON, UT 840657215 (Tel: 8012853000)

πŸ“
Business Mailing Address (Initial Record) May 17, 2024

Registered at 767 W WOODLAND ACRE LN, DRAPER, UT 840208402 (Tel: 8018287637)

πŸ‘€
Provider Name / Credentials (Initial Record) May 17, 2024

Recorded as KAMILLE THAYNE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2024

Registered Nurse (license number reported to NPPES: UT 9421907-3102)

🟒
Initial NPI Registration & Enumeration May 17, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1457100745
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 17, 2024
Last Update: August 06, 2026
Sole Proprietor: Yes

Other Nurse Practitioners in Riverton

All Nurse Practitioners in Riverton

Mailing Address

2965 W 3500 S

West Valley City, UT 841193602

Phone: 8019653600

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.