Active NPI
Sara C Mleso, FNP
- Family Nurse Practitioner
- Layton, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 8297984-4405
- 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, 2024
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8297984-3102 | UT | MD | Administrator Registered Nurse |
| 8297984-4405 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovation Medical Group PC | Family | Current | Accepting new patients |
| Taylor G Wright PC | Current | Accepting new patients | |
| Ryan K Anderson D P M P C | Current | Accepting new patients | |
| Westbroek Family Medicine PLLC | Current | Accepting new patients | |
| Ryan Westbroek LLC | Past | 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
- 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.
-
dba Foot & Ankle Specialists of Utah
- Foot & Ankle Surgery Podiatrist
- Bountiful, UT
- NPI 1639200215
-
- Nurse Practitioner
- Ogden, UT
- NPI 1831841535
-
dba Innovation Medical Group
- Podiatrist
- Salt Lake City, UT
- NPI 1235526682
Family
-
dba Utah Musculoskeletal Specialists
- Podiatrist
- Salt Lake City, UT
- NPI 1720795586
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.