Individual provider Active NPI

Lauren Michelle Blatnik, MSN, APRN, FNP-C

  • Nurse Practitioner
  • Murray, UT
National Provider Identifier
1720824709
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
7929804-4405 Issued in UT
Practice address
5888 S 900 E Ste 201
Murray, UT 84121-1687
Phone
(801) 707-2666
NPI assigned
Jul 8, 2024
Last updated
Sep 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 7929804-4405 UT Primary

Addresses

Primary practice location

5888 S 900 E Ste 201
Murray, UT 84121-1687

Mailing address

2687 S 1900 E
Salt Lake City, UT 84106-4155
Phone (801) 673-2022

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
I20250404001675 UT Practitioner - Nurse Practitioner 3779007315 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
7929804-4405UTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kindly MD, Inc. CurrentSince Mar 1, 2025 Accepting new patients

Locations

5097 S 900 E
Ste 100
Murray, UT 84117
Phone (801) 576-1455

740 E 3900 S
Ste 108
Salt Lake Cty, UT 84107
Phone (801) 382-8259

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21160/brand/1/csg/1/fhir/r4

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, 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": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1720824709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2687 S 1900 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841064155",
            "telephone_number": "801-673-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5888 S 900 E STE 201",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841211687",
            "telephone_number": "801-707-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLATNIK",
        "first_name": "LAUREN",
        "middle_name": "MICHELLE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-08",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "7929804-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.