Active NPI
Melinda B Henne, MD
- Reproductive Endocrinology Physician
- Pleasant Grove, UT
National Provider Identifier
1255438636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- 14205993-1235
- Practice address
- 1446 W Pleasant Grove Blvd
Pleasant Grove, UT 84062-3216 - Phone
- (801) 785-5100
- Fax
- (801) 785-4597
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | ME131549 | FL | |
| Reproductive Endocrinology Physician | 207VE0102X | 14205993-1235 | UT | Primary |
Addresses
Primary practice location
1446 W Pleasant Grove Blvd
Pleasant Grove, UT 84062-3216
Mailing address
1446 W Pleasant Grove Blvd
Pleasant Grove, UT 84062-3216
Phone (801) 785-5100
Other practice location 1
535 W Sunnyside Rd Ste 1
Idaho Falls, ID 83402-4647
Phone (208) 529-2019
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020761500 | Medicaid | FL | |
| K0UWU | Other | FL | BCBS |
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: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2019 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME131549 | FL | MD | Reproductive Endocrinology Physician |
| 14205993-1235 | UT | MD | Reproductive Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utah Center for Reproductive Medicine | Reproductive Endocrinology | Past | Accepting new patients |
| Reproductive Medicine Associates, P.a. | Reproductive Endocrinology | Past | Accepting new patients |
| Bronson Lakeview Hospital | Past | Accepting new patients | |
| Utah Fertility Center | Past | Accepting new patients | |
| North Florida Reproductive Medicine, LLC | Reproductive Endocrinology | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Reproductive Endocrinology Physician
- Salt Lake City, UT
- NPI 1164724860
-
- Specialist
- Pleasant Grove, UT
- NPI 1194057703
-
- Internal Medicine Physician
- Paw Paw, MI
- NPI 1235131137
-
- Reproductive Endocrinology Physician
- Jacksonville, FL
- NPI 1205397940
-
- Reproductive Endocrinology Physician
- Jacksonville, FL
- NPI 1013991587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739923200000",
"number": "1255438636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1446 W PLEASANT GROVE BLVD",
"city": "PLEASANT GROVE",
"state": "UT",
"postal_code": "840623216",
"telephone_number": "801-785-5100",
"fax_number": "801-785-4597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1446 W PLEASANT GROVE BLVD",
"city": "PLEASANT GROVE",
"state": "UT",
"postal_code": "840623216",
"telephone_number": "801-785-5100",
"fax_number": "801-785-4597"
}
],
"practiceLocations": [
{
"address_1": "535 W Sunnyside Rd Ste 1",
"address_purpose": "LOCATION",
"city": "Idaho Falls",
"state": "ID",
"postal_code": "834024647",
"country_code": "US",
"telephone_number": "208-529-2019",
"fax_number": "801-785-4597",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENNE",
"first_name": "MELINDA",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2025-02-19",
"certification_date": "2025-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "FL",
"license": "ME131549",
"primary": false
},
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "UT",
"license": "14205993-1235",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020761500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "K0UWU",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pleasant Grove, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.