Individual provider Active NPI

Sara C Mleso, FNP

  • Family Nurse Practitioner
  • Layton, UT
National Provider Identifier
1285318295
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8297984-4405 Issued in UT
Practice address
836 S Angel St Ste 102
Layton, UT 84041-3687
Phone
(435) 291-1375
NPI assigned
Jun 12, 2023
Last updated
Feb 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 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 8297984-4405 UT Primary
Administrator Registered Nurse 163WA2000X 8297984-3102 UT

Addresses

Primary practice location

836 S Angel St Ste 102
Layton, UT 84041-3687

Mailing address

6405 S 3000 E Ste 300
Salt Lake City, UT 84121-6977
Phone (801) 266-3113

Other practice location 1

1102 N 1200 W
Ogden, UT 84404-3652
Phone (801) 334-4331

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
I20240209000139 UT Practitioner - Nurse Practitioner 9234572983 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ryan K Anderson D P M P CGroup PAC ID 7517999121, 51 clinicians
Westbroek Family Medicine PLLCGroup PAC ID 0446642581, 6 clinicians

Practice addresses (Care Compare)

596 W 750
Suite 200
Bountiful, UT 84010-7281
Phone (801) 292-4425

903 S Main St
Suite a
Brigham City, UT 84302-3112
Phone (801) 515-7997

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8297984-3102UTMDAdministrator Registered Nurse
8297984-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Innovation Medical Group PC Family CurrentSince Dec 18, 2023 Accepting new patients
Taylor G Wright PC CurrentSince Dec 17, 2023 Accepting new patients
Ryan K Anderson D P M P C CurrentSince Jan 1, 2025 Accepting new patients
Westbroek Family Medicine PLLC CurrentSince Jul 25, 2025 Accepting new patients
Ryan Westbroek LLC PastSince Oct 10, 2021 Accepting new patients
Utah Podiatric Physicians and Surgeons Group LLC Past Accepting new patients

Locations

596 W 750 S
Ste 200
Bountiful, UT 84010
Phone (801) 292-4425

903 S Main St
Ste A
Brigham City, UT 84302
Phone (435) 515-3681

11762 S State St
Ste 340
Draper, UT 84020
Phone (801) 562-9294

836 S Angel St
Ste 102
Layton, UT 84041
Phone (435) 291-1375

3500 Harrison Blvd
Ste 200
Ogden, UT 84403
Phone (801) 627-2225

434 W Ascension Way
Ste 425
Salt Lake City, UT 84123

6405 S 3000 E
Ste 300
Salt Lake Cty, UT 84121
Phone (801) 266-5113

4624 S Holladay Blvd
Ste 201
Slc, UT 84117
Phone (385) 234-4785

475 40th St
Ste 111
South Ogden, UT 84403
Phone (385) 402-4097

596 W 750 S
Ste 300
Woods Cross, UT 84010
Phone (801) 518-4929

Interoperability endpoints

  • Direct secure messaging: allevioutah.saramleso@161802.advancedmd-direct.com

Organizations & group practices 6

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": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1285318295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 S 3000 E STE 300",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841216977",
            "telephone_number": "801-266-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 S ANGEL ST STE 102",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840413687",
            "telephone_number": "435-291-1375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1102 N 1200 W",
            "address_purpose": "LOCATION",
            "city": "Ogden",
            "state": "UT",
            "postal_code": "844043652",
            "country_code": "US",
            "telephone_number": "801-334-4331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MLESO",
        "first_name": "SARA",
        "middle_name": "C",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "8297984-4405",
            "primary": true
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "UT",
            "license": "8297984-3102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

Verify at the official NPI Registry.