Individual provider Active NPI

Miquelle M Smith, WHNP

  • Women's Health Nurse Practitioner
  • Sandy, UT
National Provider Identifier
1457568453
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
219852-4405 Issued in UT
Practice address
9844 S 1300 E Ste 360
Sandy, UT 84094-4698
Phone
(801) 619-0999
Fax
(801) 619-4999
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 219852-4405 UT Primary

Addresses

Primary practice location

9844 S 1300 E Ste 360
Sandy, UT 84094-4698

Mailing address

9844 S 1300 E Ste 360
Sandy, UT 84094-4698
Phone (801) 619-0999

Other identifiers 1

IdentifierTypeStateIssuer
219852-4405OtherUTSTATE LICENSE

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
I20240502003899 UT Practitioner - Nurse Practitioner 5890135149 Reassigns benefits to 1 organization
Practice locations: Midvale, UT

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7802 S Grant St
Midvale, UT 84047-7439
Phone (801) 209-2318

9600 S 1300
Suite 235
Sandy, UT 84094-3785
Phone (801) 619-0999

Hospital & facility affiliations

  • Lone Peak Hospital Hospital, Draper, UT, CCN 460060
  • Intermountain Health Alta View Hospital Hospital, Sandy, UT, CCN 460044
  • Intermountain Health Riverton Hospital Hospital, Riverton, UT, CCN 460058

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
219852-4405UTMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Miquelle M Smith Aprn PLLC Women'S Health CurrentSince Aug 1, 2024 Accepting new patients

Locations

9600 S 1300 E
Ste 235
Sandy, UT 84094
Phone (801) 619-0999

9844 S 1300 E
Ste 360
Sandy, UT 84094
Phone (801) 571-6999

Interoperability endpoints

  • Direct secure messaging: miquellemsmithaprnpllc.miquellesmith@158512.advancedmd-direct.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 and National Provider Directory roles.

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": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1457568453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9844 S 1300 E STE 360",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840944698",
            "telephone_number": "801-619-0999",
            "fax_number": "801-619-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9844 S 1300 E STE 360",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840944698",
            "telephone_number": "801-619-0999",
            "fax_number": "801-619-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MIQUELLE",
        "middle_name": "M",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "UT",
            "license": "219852-4405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "219852-4405",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

Verify at the official NPI Registry.