Organization Active NPI

Miquelle M Smith Aprn PLLC

  • Women's Health Nurse Practitioner
  • Sandy, UT
National Provider Identifier
1982456026
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
Legal business name
MIQUELLE M SMITH APRN PLLC
Practice address
9844 S 1300 E Ste 360
Sandy, UT 84094-4698
Phone
(801) 619-0999
Fax
(801) 619-4999
NPI assigned
Apr 2, 2024
Last updated
Sep 8, 2026By the provider in NPPES
Organization subpart
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

Authorized official

Name
Miquelle M Smith, NPNPI 1457568453
Title
Owner
Phone
(801) 619-0999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X NU 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240904004644 UT Part B Supplier - Clinic/Group Practice 4082154067 Receives reassigned benefits from 1 practitioner
Practice locations: Sandy, UT

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1982456026",
    "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": {
        "organization_name": "MIQUELLE M SMITH APRN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-02",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MIQUELLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-619-0999",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.