Katherine Nelson Blackham, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11581803-4405 Issued in UT

Practice address

1446 W Pleasant Grove Blvd
Pleasant Grove, UT 84062-3216

Phone

(801) 785-5100

NPI assigned

Jul 24, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Utah Fertility Center

  • Specialist
  • Pleasant Grove, UT
  • NPI 1194057703
  NPD (past)
• Bronson Lakeview Hospital

  • Internal Medicine Physician
  • Paw Paw, MI
  • NPI 1235131137
  NPD (past)

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1457031429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 E SANDS DR",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841242727",
            "telephone_number": "435-632-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1446 W PLEASANT GROVE BLVD",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840623216",
            "telephone_number": "801-785-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKHAM",
        "first_name": "KATHERINE",
        "middle_name": "NELSON",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "11581803-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Anne Best, APRN, FNP-C
• Beyond the V Physical Therapy
• Shyler Bischof, DNP PMHNP-BC
• Dianne Gwen Bjarnson, L.D.E.M.
• Ashton Black
• Robert Reese Blackhurst, D.D.S.
• Blake Dental P.C.
• Heath J. Blake, D.D.S
• Jonah Blake
• Brooklyn Blancahrd

• All providers in Pleasant Grove, UT
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.