Individual provider Active NPI

Melanie Ann Young

  • Family Nurse Practitioner
  • Ogden, UT
National Provider Identifier
1184324600
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7238081-8900 Issued in UT
Practice address
4345 Harrison Blvd # 101
Ogden, UT 84403-3103
Phone
(385) 350-8500
Fax
(385) 350-8555
NPI assigned
Mar 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 7238081-8900 UT Primary
Neuroscience Registered Nurse 163WN0800X 7238081 UT

Addresses

Primary practice location

4345 Harrison Blvd # 101
Ogden, UT 84403-3103

Mailing address

4345 Harrison Blvd # 101
Ogden, UT 84403-3103
Phone (385) 350-8500

Other practice location 1

187 S Pinwheel Pl
Layton, UT 84041-8772
Phone (208) 329-1014

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
I20240220001938 UT Practitioner - Nurse Practitioner 1052755899 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7238081UTMDNeuroscience Registered Nurse
7238081-8900UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Kidney Institute, LLC CurrentSince Jan 6, 2024 Accepting new patients

Locations

4287 Harrison Blvd
Ogden, UT 84403

4345 Harrison Blvd
#101
Ogden, UT 84403
Phone (385) 350-8500

24 S 1100 E
Ste 310
Slc, UT 84102
Phone (801) 328-1260

3584 W 9000 S
Ste 305
West Jordan, UT 84088
Phone (385) 350-8500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27381/brand/1/csg/1/fhir/r4
  • Direct secure messaging: melanie.young.1@27381.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1184324600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4345 HARRISON BLVD # 101",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844033103",
            "telephone_number": "385-350-8500",
            "fax_number": "385-350-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4345 HARRISON BLVD # 101",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844033103",
            "telephone_number": "385-350-8500",
            "fax_number": "385-350-8555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "187 S Pinwheel Pl",
            "address_purpose": "LOCATION",
            "city": "Layton",
            "state": "UT",
            "postal_code": "840418772",
            "country_code": "US",
            "telephone_number": "208-329-1014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "MELANIE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-03",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "7238081-8900",
            "primary": true
        },
        {
            "code": "163WN0800X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neuroscience",
            "state": "UT",
            "license": "7238081",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.