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

Katelyn Siano

Individual provider Family Nurse Practitioner · NPI 1780209668

Katelyn Siano is a Nurse Practitioner in Provo, Utah. Qualified in 2020, 6 years ago. Practices with Revere Health PC, a 410-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
6
Licensed in
UT
In the registry since
2020
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Practice location Address checks out

1055 N 500 W Ste 205 Bldg C
Provo, UT 84604
Phone: (801) 429-8095
Fax: (801) 354-8265
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1429 S 1600 W, Mapleton, UT 84664-4210 — (801) 853-3700
  • 1055 N 500 W, Provo, UT 84604 — (801) 354-8225
  • 5 E 400 N, Springville, UT 84663-1347 — (801) 489-8464

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 6159237-4405 (UT)

Record details

NPI number1780209668
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 16, 2020
Last updated in NPPESMarch 11, 2024
Certification dateMarch 11, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Provo