KENT BLAD (FNP) – Pediatric Nurse Practitioner, NPI 1336219906

KENT BLAD (FNP) is a healthcare provider. based in Provo, Utah. specializing in Pediatric Nurse Practitioner. They hold the professional credentials FNP. They hold a License No. 217117-4405 (UT). The NPI Number for KENT BLAD (FNP) is 1336219906

Main info

Male
Name
KENT BLAD (FNP)
NPI
1336219906
Phone
(801) 377-8000
Address
1675 N FREEDOM BLVD
Enumeration Date
9 November 2006
Last Update Date
19 October 2011
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for KENT BLAD (FNP)

  • 1675, Freedom Boulevard, Carterville, Pleasant View, Provo, Utah County, Utah, 84604, United States

    BLDG 3

    PROVO, UT 846042540

    Phone: (801) 377-8000

    Fax: (801) 377-8001

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84604)

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Reviews

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Frequently asked questions

How do payers reference KENT BLAD (FNP)?
For KENT BLAD (FNP), use NPI 1336219906 as the unique 10-digit identifier.
Active or inactive — what applies to KENT BLAD (FNP)?
You should see KENT BLAD (FNP) as active in CMS-hosted NPPES data.
What kind of doctor is KENT BLAD (FNP)?
KENT BLAD (FNP) is associated with Pediatric Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is KENT BLAD (FNP) associated with Provo?
Public fields place KENT BLAD (FNP) around Provo, Utah. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for KENT BLAD (FNP) is noted as November 9, 2006 where the registry provides it.

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