Individual provider Active NPI

Melissa Williams, FNP-C

  • Family Nurse Practitioner
  • Provo, UT
National Provider Identifier
1730988536
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7221944-4405 Issued in UT
Practice address
3319 N University Ave Ste 100
Provo, UT 84604-4447
Phone
(801) 356-0014
Fax
(801) 788-4842
NPI assigned
Mar 12, 2025
Last updated
Feb 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 7221944-4405 UT Primary

Addresses

Primary practice location

3319 N University Ave Ste 100
Provo, UT 84604-4447

Mailing address

607 Kirby LN
Spanish Fork, UT 84660-1368
Phone (801) 382-9338

Other practice location 1

607 Kirby Ln
Spanish Fork, UT 84660-1368
Phone (801) 382-9338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7221944-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Palisades Counseling LLC PastSince Oct 1, 2023 Accepting new patients
Canyon Counseling Center, Inc PastSince Aug 28, 2021 Accepting new patients
Complete Evaluations LLC PastSince Jun 9, 2022 Accepting new patients

Organizations & group practices 3

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": "1741737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1730988536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 KIRBY LN",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601368",
            "telephone_number": "801-382-9338",
            "fax_number": "801-383-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3319 N UNIVERSITY AVE STE 100",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044447",
            "telephone_number": "801-356-0014",
            "fax_number": "801-788-4842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "607 Kirby Ln",
            "address_purpose": "LOCATION",
            "city": "Spanish Fork",
            "state": "UT",
            "postal_code": "846601368",
            "country_code": "US",
            "telephone_number": "801-382-9338",
            "fax_number": "801-383-0246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MELISSA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-12",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "7221944-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.