Active NPI
Melissa Camille Hanni-Smith, DNP, APRN, FNP-C
- Family Nurse Practitioner
- Ogden, UT
National Provider Identifier
1174497325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11649149-4405
- Practice address
- 1920 W 250 N Ste 2
Ogden, UT 84404-9234 - Phone
- (385) 289-2088
- NPI assigned
- Oct 1, 2025
- Last updated
- Jan 28, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11649149-4405 | UT | Primary |
Addresses
Primary practice location
1920 W 250 N Ste 2
Ogden, UT 84404-9234
Mailing address
1525 E Canyon Dr
South Weber, UT 84405-9220
Phone (801) 940-4161
Other practice location 1
1330 E Highway 193 Ste C1
Layton, UT 84040-8547
Phone (801) 821-2254
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Mar 9, 2026 through Mar 9, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11649149-4405 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ageless Womens Health Ut LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Ageless Women's Health
- Family Medicine Physician
- Marriott Slaterville, UT
- NPI 1053017004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769558400000",
"number": "1174497325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 E CANYON DR",
"city": "SOUTH WEBER",
"state": "UT",
"postal_code": "844059220",
"telephone_number": "801-940-4161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 W 250 N STE 2",
"city": "OGDEN",
"state": "UT",
"postal_code": "844049234",
"telephone_number": "385-289-2088"
}
],
"practiceLocations": [
{
"address_1": "1330 E Highway 193 Ste C1",
"address_purpose": "LOCATION",
"city": "Layton",
"state": "UT",
"postal_code": "840408547",
"country_code": "US",
"telephone_number": "801-821-2254",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANNI-SMITH",
"first_name": "MELISSA",
"middle_name": "CAMILLE",
"credential": "DNP, APRN, FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-01",
"last_updated": "2026-01-28",
"certification_date": "2026-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "11649149-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.