Charmele Melissa Nish, ASUDC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

1481 E Pioneer Rd
Draper, UT 84020-9623

Phone

(801) 679-6669

Fax

(801) 203-9216

NPI assigned

Oct 6, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Care One Partners LLC

  • Multi-Specialty Clinic/Center
  • Draper, UT
  • NPI 1932618873
  NPD (past)
• Deer Hollow Outpatient Services, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Draper, UT
  • NPI 1578917787
  NPD (past)
• Deer Hollow Recovery LLC

  • Psychiatric Residential Treatment Facility
  • Draper, UT
  • NPI 1821473224
  NPD (past)

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1184134868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1078",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840201078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 E PIONEER RD",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209623",
            "telephone_number": "801-679-6669",
            "fax_number": "801-203-9216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12608 S 125 W Ste E",
            "address_purpose": "LOCATION",
            "city": "Draper",
            "state": "UT",
            "postal_code": "840208437",
            "country_code": "US",
            "telephone_number": "801-810-1119",
            "fax_number": "801-759-1734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NISH",
        "first_name": "CHARMELE",
        "middle_name": "MELISSA",
        "credential": "ASUDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Nielsen
• Melissa Nielsen
• Sara Nielsen, APRN, FNP-BC
• Jessica Nigh
• Stacy Nihipali, L.M.T.
• Gerald Nixon
• Matthew Mitsuyoshi Nobusada-Flynn, DPT
• Cynthia Amanda Noorda
• Matthew L Noorda, DMD
• Benjamin Norman

• Addiction (Substance Use Disorder) Counselor in Draper, UT
• Providers in Draper, UT by specialty
• Addiction (Substance Use Disorder) Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.