Individual provider Active NPI

Melissa Thompson, FNP-C

  • Primary Care Nurse Practitioner
  • Kamas, UT
National Provider Identifier
1548052152
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
12446002-4405 Issued in UT
Practice address
228 W 200 S
Kamas, UT 84036-9010
Phone
(435) 783-4385
NPI assigned
May 20, 2025
Last updated
Jul 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 12446002-4405 UT Primary

Addresses

Primary practice location

228 W 200 S
Kamas, UT 84036-9010

Mailing address

228 W 200 S
Kamas, UT 84036-9010
Phone (435) 783-4385

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
I20250711000965 UT Practitioner - Nurse Practitioner 8921513888 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12446002-4405UTMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory Iverson Family Medicine, PLLC CurrentSince Jun 1, 2025 Accepting new patients
Gregory Iverson Family Medicine PLLC Current Accepting new patients

Locations

142 S 50 E
Coalville, UT 84017
Phone (435) 336-4403

228 W 200 S
Kamas, UT 84036
Phone (435) 513-2270

Interoperability endpoints

  • Direct secure messaging: melissa.thompson.1@27548.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1747699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1548052152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 W 200 S",
            "city": "KAMAS",
            "state": "UT",
            "postal_code": "840369010",
            "telephone_number": "435-783-4385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 W 200 S",
            "city": "KAMAS",
            "state": "UT",
            "postal_code": "840369010",
            "telephone_number": "435-783-4385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MELISSA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "UT",
            "license": "12446002-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kamas, UT

Sources for this page

Verify at the official NPI Registry.