Melissa Alm, DNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Salt Lake City, UT
NPI 1194358085 · NPPES record last updated May 13, 2023
Key facts
- NPI
- 1194358085
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 9412161-4405 (UT)
- Practice address
- 1399 S 700 E Ste 7
Salt Lake City, UT 84105-2103 - Phone
- (801) 946-4740
- Fax
- (385) 277-8362
- NPI assigned
- Feb 19, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9412161-3102 | UT | MD | Registered Nurse |
| 9412161-4405 | UT | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Braw Beathan LLC | Registered Nurse | Current |
Accepting new patients |
Locations
1399 S 700 E
Ste 7
Salt Lake Cty, UT 84105
Phone (801) 474-2347
Interoperability endpoints
- melissa.alm.1@27860.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 9412161-3102 | UT | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 9412161-4405 | UT | Yes |
Addresses
Primary practice location
1399 S 700 E Ste 7
Salt Lake City, UT 84105-2103
Mailing address
847 S 400 E
Salt Lake City, UT 84111-4332
Other providers in Salt Lake City, UT
- Tyson William Allred
- Windy Malone Allred
- Diane June Allsop
- Lindsay Allwood
- Ally Counseling, LLC
- Carlos Almada
- Jawad S a Almajed
- Lauren Anne Almanza
- Stephanie Almer
- Kendall J Almeroth
All providers in Salt Lake City, UT · Psychiatric/Mental Health Nurse Practitioner in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.