NPI 1659282473 · live from the CMS NPI Registry
Amenity Healthcare
Nurse Practitioner, Psych/Mental Health in Salt Lake City, UT. National Provider Identifier 1659282473, active.
NPI record
| NPI | 1659282473 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Psych/Mental Health 363LP0808X |
| Practice location | 30 E Broadway Ste 2031149, Salt Lake City, UT 84111 |
| Practice phone | 813-773-1932 |
| Mailing address | 7901 4th St N # 18547, St Petersburg, FL 33702 |
| Enumerated | September 14, 2026 |
| Last updated | September 14, 2026 |
| Authorized official | Christina Braddy, Nurse Practitioner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family | 363LF0000X | — |
| Nurse Practitioner, Psych/Mental Health primary | 363LP0808X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.