Individual provider Active NPI

Melanie Muma, NP-C

  • Family Nurse Practitioner
  • Sunset, UT
National Provider Identifier
1104370451
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5658840-4405 Issued in UT
Practice address
425 W 2125 N
Sunset, UT 84015-3539
Phone
(801) 725-7268
NPI assigned
Aug 3, 2016
Last updated
Aug 3, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5658840-4405 UT Primary

Addresses

Primary practice location

425 W 2125 N
Sunset, UT 84015-3539

Mailing address

425 W 2125 N
Sunset, UT 84015-3539
Phone (801) 725-7268

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171229002081 UT Practitioner - Nurse Practitioner 4587922257 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain West Wound Care Inc CurrentSince Jan 13, 2025 Accepting new patients
Mountain West Podiatry LLC CurrentSince Apr 18, 2024 Accepting new patients
Gary F Holland MD PC CurrentSince Jan 29, 2018 Accepting new patients
Ryan K Anderson D P M P C CurrentSince Aug 13, 2025 Accepting new patients
Utah Podiatric Physicians and Surgeons Group LLC Past Accepting new patients

Locations

596 W 750 S
Ste 200
Bountiful, UT 84010
Phone (801) 292-4425

1231 N 1300 W
Ste A
Centerville, UT 84014
Phone (801) 815-6500

380 S Main St
Centerville, UT 84014
Phone (530) 869-1444

11762 S State St
Ste 340
Draper, UT 84020
Phone (801) 562-9294

375 N Main St
Ste 103
Kaysville, UT 84037
Phone (801) 216-4130

434 W Ascension Way
Ste 425
Salt Lake City, UT 84123

596 W 750 S
Ste 300
Woods Cross, UT 84010
Phone (801) 673-7661

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1104370451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W 2125 N",
            "city": "SUNSET",
            "state": "UT",
            "postal_code": "840153539",
            "telephone_number": "801-725-7268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W 2125 N",
            "city": "SUNSET",
            "state": "UT",
            "postal_code": "840153539",
            "telephone_number": "801-725-7268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUMA",
        "first_name": "MELANIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "5658840-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunset, UT

Sources for this page

Verify at the official NPI Registry.