Independent US Healthcare Provider Directory & Public Medical Database
TRUE-MEDINFO Logo
TRUE-MEDINFO US Healthcare & Provider Directory
Active NPI 1336219906 Individual Practitioner Male Practitioner

Kent Blad , FNP

Nurse Practitioner - Pediatrics • Provo, UT

Professional Overview & Biography Verified Profile Summary

Kent Blad, FNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Provo, UT. Practice services are available at 1675 N FREEDOM BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1675 N Freedom Blvd
Bldg 3

Provo, UT 846042540

Telephone 8013778000
Fax 8013778001
Associated Practice Facility / Clinic
🏢 Provo Dialysis Center University Of Utah Facility NPI 1194824201

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Provo, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
7 Specialists

Practicing in Provo, UT (133 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License UT 217117-4405

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
D2731 (UT)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1063723708

Doctor of Medicine (M.D.)

NPI 1770545931

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active October 19, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location October 19, 2011

Registered at 1675 N FREEDOM BLVD, BLDG 3, PROVO, UT 846042540 (Tel: 8013778000)

📍
Updated Business Mailing Address October 19, 2011

Registered at 1675 N FREEDOM BLVD, BLDG 3, PROVO, UT 846042540 (Tel: 8013778000)

👤
Provider Name / Credentials Updated October 19, 2011

Recorded as KENT BLAD, FNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2011

Nurse Practitioner (License #217117-4405 in UT)

🟢
Initial NPI Registration & Enumeration November 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Kent Blad. Be the first to share your experience!

Sign in to leave a review for Kent Blad

Only verified registered users can submit ratings, post feedback, and upload facility photos.

Sign In Create Account

NPI Administrative Meta

NPI Number: 1336219906
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 09, 2006
Last Update: October 19, 2011
Sole Proprietor: No
Update or Correct Profile

Mailing Address

1675 N Freedom Blvd, Bldg 3

Provo, UT 846042540

Phone: 8013778000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.