Michelle Lee Smith, APRN – Family Nurse Practitioner

Key facts

NPI: 1396149274
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: 375231-4405 (UT)
Practice address: 2332 W 12600 S
Suite 2C
Riverton, UT 84065-7161
Phone: (801) 446-2760
Fax: (801) 446-2762
NPI assigned: Oct 21, 2014
Sex: Female
Sole proprietor: No

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 and National Provider Directory roles.

Aspen Consolidated Health LLC Family Medicine Physician · Pleasant Grove, UT · NPI 1851921993

NPD (past)

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
375231-4405	UT	MD	Family Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Aspen Consolidated Health LLC		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	375231-4405	UT	Yes

Addresses

Primary practice location

2332 W 12600 S
Suite 2C
Riverton, UT 84065-7161

Mailing address

2332 W 12600 S
Suite 2C
Riverton, UT 84065-7161
Phone (801) 446-2760

Other providers in Riverton, UT

Tiffany Smart
Bart Smith, PHARM D
Charlotte Ann Smith, LCSW
Kent J Smith, M.D.
Michael John Smith Jr., D.C.
Rebecca Corina Reyes Snedegar
Shelby Snyder, LCSW
Terry R. Sorenson, DMD
South Hills Orthodontics
South Hills Pediatric Dental Specialists, LLC

All providers in Riverton, UT · Family 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 Oct 21, 2014. 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.

Verify at the official NPI Registry.