Melissa Radcliffe, APNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

294542-4405 Issued in UT

Practice address

3780 S West Temple Ste 200
South Salt Lake, UT 84115-4515

Phone

(801) 970-4205

Fax

(385) 202-3097

NPI assigned

Sep 26, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Odyssey House Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Salt Lake City, UT
  • NPI 1033143706

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Sunshine Behavioral Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • South Salt Lake, UT
  • NPI 1992569701
  Medicare reassignment NPD
• Pathway Home

  • Mental Illness Community Based Residential Treatment Facility
  • Salt Lake City, UT
  • NPI 1639927684

  Family

  NPD Authorized official
• Odyssey House Inc

  • Family Medicine Physician
  • Salt Lake City, UT
  • NPI 1407481245
  NPD

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1992356240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3780 S WEST TEMPLE STE 200",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "841154515",
            "telephone_number": "801-970-4205",
            "fax_number": "385-202-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3780 S WEST TEMPLE STE 200",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "841154515",
            "telephone_number": "801-970-4205",
            "fax_number": "385-202-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADCLIFFE",
        "first_name": "MELISSA",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "294542-4405",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "294542-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julianna Marie Potter, CSW
• Pro DME LLC
• Marisa Christine Pugh, PTA
• Heidi Qin
• Caroline Chau Quach
• Kysa C Radley Osborne, LCSW
• Janine Robyn Radley, SLP
• Cescilee Rene Rall, RN
• Veronica Ramirez
• Linsday Ramsey, RN

• Psychiatric/Mental Health Nurse Practitioner in South Salt Lake, UT
• Providers in South Salt Lake, UT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.