Melissa Sue Blakey, A.P.R.N., FNP-C
Individual provider Active NPI Family Nurse Practitioner · Spanish Fork, UT
NPI 1508512757 · NPPES record last updated Feb 25, 2022
Key facts
- NPI
- 1508512757
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4830244-4405 (UT)
- Practice address
- 701 E 700 N
Spanish Fork, UT 84660-1699 - Phone
- (801) 794-7947
- NPI assigned
- Feb 25, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4830244-4405 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utah Valley Pediatrics L.L.C. | Past |
Accepting new patients | |
| Optimal Health Family Practice | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4830244-4405 | UT | Yes |
Addresses
Primary practice location
701 E 700 N
Spanish Fork, UT 84660-1699
Mailing address
2091 E 130 N
Spanish Fork, UT 84660-5896
Phone (801) 472-3846
Other practice location 1
240 E Center St
Provo, UT 84606-3107
Phone (801) 877-5801
Other providers in Spanish Fork, UT
- Austin W Bills
- Anna Bishop
- Brandon Blacka
- Mari Bladh
- Mary Blakesly
- Richelle Blanchard
- Taylor Bleyl
- Miriam Adei Boadi
- Jana R. Boehler
- Heather Boogert
All providers in Spanish Fork, 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 Feb 25, 2022. 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.