McKenzie Blatt, APRN
Individual provider Active NPI Nurse Practitioner · SLC, UT
NPI 1073277802 · NPPES record last updated Dec 26, 2025
Key facts
- NPI
- 1073277802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 7900097-4405 (UT)
- Practice address
- 50 N Medical Dr
SLC, UT 84132-0001 - Phone
- (801) 581-2747
- NPI assigned
- Oct 27, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7900097-4405 | UT | MD | Neonatal Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 7900097-4405 | UT | |
| Nurse Practitioner | 363L00000X | 7900097-4405 | UT | Yes |
Addresses
Primary practice location
50 N Medical Dr
SLC, UT 84132-0001
Mailing address
681 E Vine St
Murray, UT 84107-5076
Phone (801) 949-6962
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mselleck88639@direct.med.utah.edu | Direct | University of Utah |
Other providers in SLC, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.