Individual provider Active NPI

Melissa Camille Hanni-Smith, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Ogden, UT
National Provider Identifier
1174497325
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11649149-4405 Issued in UT
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
11649149-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ageless Womens Health Ut LLC PastSince Feb 8, 2023 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.

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

Verify at the official NPI Registry.