Individual provider Active NPI

Michelle Lyn Schlentz, APRN

  • General Practice Physician
  • Holladay, UT
National Provider Identifier
1407441280
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
6812043-4405 Issued in UT
Practice address
2200 E 4500 S Ste 130
Holladay, UT 84117-4034
Phone
(801) 792-0424
NPI assigned
Mar 4, 2021
Last updated
Mar 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 6812043-4405 UT Primary

Addresses

Primary practice location

2200 E 4500 S Ste 130
Holladay, UT 84117-4034

Mailing address

2200 E 4500 S Ste 130
Holladay, UT 84117-4034
Phone (801) 792-0424

Other identifiers 1

IdentifierTypeStateIssuer
6812043-4405OtherUTAPRN

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://botoxbymichelle.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6812043-4405UTMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1407441280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 E 4500 S STE 130",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841174034",
            "telephone_number": "801-792-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E 4500 S STE 130",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841174034",
            "telephone_number": "801-792-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLENTZ",
        "first_name": "MICHELLE",
        "middle_name": "LYN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "UT",
            "license": "6812043-4405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "6812043-4405",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://botoxbymichelle.com",
            "affiliation": "N",
            "endpointDescription": "Owner",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "https://botoxbymichelle.com",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Owner",
            "address_1": "2200 E 4500 S Ste 130",
            "city": "Holladay",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841174034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Holladay, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.