Individual provider Active NPI

Melissa Bossard Parra, DNP, ACNP-BC

  • Acute Care Nurse Practitioner
  • Salt Lake City, UT
National Provider Identifier
1164770764
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
319170-4405 Issued in UT
Practice address
8TH Ave & C Street
E8
Salt Lake City, UT 84143
Phone
(801) 408-1819
Fax
(801) 408-8453
NPI assigned
Aug 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 319170-4405 UT Primary

Addresses

Primary practice location

8TH Ave & C Street
E8
Salt Lake City, UT 84143

Mailing address

8TH Ave & C Street
E8
Salt Lake City, UT 84143
Phone (801) 408-1819

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
I20121113000708 UT Practitioner - Nurse Practitioner 6709037054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

1100 S Medical Dr
Mt Pleasant, UT 84647-2222
Phone (801) 408-8112

Hospital & facility affiliations

  • LDS Hospital Hospital, Salt Lake City, UT, CCN 460006

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc CurrentSince Sep 17, 2012 Accepting new patients
Ihc Health Services, Inc. CurrentSince Sep 17, 2012 Accepting new patients
Ihc Health Services Inc Hematology & Oncology Past Accepting new patients
Ihc Health Services Inc Past Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

201 W Layton Pkwy
Ste 2A
Layton, UT 84041
Phone (801) 387-7185

1100 S Medical Dr
Mt Pleasant, UT 84647
Phone (435) 462-2441

4403 Harrison Blvd
Ste 1670
Ogden, UT 84403
Phone (801) 387-7125

8 Th Ave C St
Salt Lake City, UT 84143
Phone (801) 408-5482

8th Ave C St
Salt Lake City, UT 84143
Phone (801) 269-2500

600 S Medical Center Dr
St George, UT 84790
Phone (435) 251-4900

544 S 400 E
St George, UT 84770
Phone (435) 688-4000

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346198400000",
    "number": "1164770764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8TH AVE & C STREET",
            "address_2": "E8",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84143",
            "telephone_number": "801-408-1819",
            "fax_number": "801-408-8453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8TH AVE & C STREET",
            "address_2": "E8",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84143",
            "telephone_number": "801-408-1819",
            "fax_number": "801-408-8453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRA",
        "first_name": "MELISSA",
        "middle_name": "BOSSARD",
        "credential": "DNP, ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "UT",
            "license": "319170-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.