Individual provider Active NPI

Jill Glazier Blasdell

  • Family Nurse Practitioner
  • Kanab, UT
National Provider Identifier
1295465417
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7742638-8900 Issued in UT
Practice address
329 S 350 E Ste 4
Kanab, UT 84741-3768
Phone
(435) 644-5626
NPI assigned
Jun 11, 2022
Last updated
Aug 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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 7742638-8900 UT Primary
Family Nurse Practitioner 363LF0000X 856084 NV

Addresses

Primary practice location

329 S 350 E Ste 4
Kanab, UT 84741-3768

Mailing address

329 S 350 E Ste 4
Kanab, UT 84741-3768
Phone (435) 644-5626

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
I20250907000222 UT Practitioner - Nurse Practitioner 7214308063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mesquite Clinic Management Company LLCGroup PAC ID 8123456456, shared by 3 NPIs, 23 clinicians

Practice addresses (Care Compare)

1925 Whipple Ave
Logandale, NV 89021-9934
Phone (702) 398-3621

329 S 350
Suite 4
Kanab, UT 84741-3768
Phone (435) 644-5626

329 S 350 E
Suite 4
Kanab, UT 84741-3768

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
856084NVMDFamily Nurse Practitioner
7742638-8900UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kanab Healthcare LLC Family CurrentSince Jun 22, 2025 Accepting new patients

Locations

329 S 350 E
Ste 4
Kanab, UT 84741
Phone (435) 644-5626

Interoperability endpoints

  • Direct secure messaging: jill.blasdell.1@33968.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1654905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1295465417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 S 350 E STE 4",
            "city": "KANAB",
            "state": "UT",
            "postal_code": "847413768",
            "telephone_number": "435-644-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 S 350 E STE 4",
            "city": "KANAB",
            "state": "UT",
            "postal_code": "847413768",
            "telephone_number": "435-644-5626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLASDELL",
        "first_name": "JILL",
        "middle_name": "GLAZIER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-11",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "7742638-8900",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "856084",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kanab, UT

Sources for this page

Verify at the official NPI Registry.