BLAKE HENRY MILES FNP NPI 1003526468

NPI Information

  • NPI: 1003526468
  • Provider Name: BLAKE HENRY MILES, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 977 S VIA LA COSTA WAY
    KAYSVILLE, UT
    ZIP 84037
  • Phone: (801) 589-6988

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NPI Details

Blake Henry Miles, FNP is a family nurse practitioner in Kaysville, UT with 4 years of experience. Blake Henry Miles, FNP NPI is 1003526468. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

977 S VIA LA COSTA WAY
KAYSVILLE, UT
ZIP 84037-839
Phone: (801) 589-6988

The NPI 1003526468 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/28/2022 and was last updated on 11/28/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily5808074-4405UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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