Active NPI
Sydney Matthews Melanson, MAT, LAT, ATC
- Athletic Trainer
- Saint George, UT
National Provider Identifier
1053091892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 13421689-4810
- Practice address
- 835 N 3050 E
Saint George, UT 84790-9041 - Phone
- (435) 256-0003
- NPI assigned
- Jul 18, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 13421689-4810 | UT | Primary |
Addresses
Primary practice location
835 N 3050 E
Saint George, UT 84790-9041
Mailing address
560 S 150 E Unit 8
Ivins, UT 84738-1262
Phone (623) 688-7011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13421689-4810 | UT | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689638400000",
"number": "1053091892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 S 150 E UNIT 8",
"city": "IVINS",
"state": "UT",
"postal_code": "847381262",
"telephone_number": "623-688-7011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 N 3050 E",
"city": "SAINT GEORGE",
"state": "UT",
"postal_code": "847909041",
"telephone_number": "435-256-0003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELANSON",
"first_name": "SYDNEY",
"middle_name": "MATTHEWS",
"credential": "MAT, LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-18",
"last_updated": "2023-07-18",
"certification_date": "2023-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "UT",
"license": "13421689-4810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.