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KENT BLAD FNP
NPI 1336219906
Nurse Practitioner - Pediatrics in Provo, UT

Active since November 09, 2006
1675 N FREEDOM BLVD, BLDG 3, PROVO, UT 84604(801) 377-8000(801) 377-8001 Get Directions Write a Review

NPPES record last updated: October 19, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kent Blad Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENT BLAD FNP (NPI 1336219906) is an individual pediatrics provider in Provo, Utah, licensed in Utah (217117-4405) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1336219906
Entity TypeIndividualMale
Primary Taxonomy363LP0200X
Provider Legal NameKENT BLADCredential: FNP
Location Address1675 N FREEDOM BLVD, BLDG 3Provo, UT 84604-2540
Mailing Address1675 N Freedom Blvd, Bldg 3Provo, UT 84604-2540 · (801) 377-8000 · Fax (801) 377-8001
Phone(801) 377-8000
Fax(801) 377-8001
Sole ProprietorNo
Enumeration DateNovember 9, 2006
Last NPPES UpdateOctober 19, 2011
✔ NPI 1336219906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in UT · 217117-4405
1675 N FREEDOM BLVD, Provo, UT 84604
Open in Google Maps ↗

Other Identifiers 1

MedicaidD2731UT

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MATTHEW JOSEPH CLAYTON D.O.
Pediatrics
1675 N FREEDOM BLVD, STE 9C
PROVO, UT 84604
Utah County (801) 377-4800
NEW HORIZON WOMEN'S CARE, LLC
Internal Medicine
1675 N FREEDOM BLVD, SUITE 3
PROVO, UT 84604
Utah County (801) 374-1010
PROVO DIALYSIS CENTER UNIVERSITY OF UTAH
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1675 N FREEDOM BLVD
PROVO, UT 84604
Utah County (801) 373-0167
TOTAL RENAL CARE INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1675 N FREEDOM BLVD
PROVO, UT 84604
Utah County (801) 373-0169
DR. DAMON MONSON FAUST D.C.
Chiropractor
1675 N FREEDOM BLVD, 7A
PROVO, UT 84604
Utah County (801) 489-1075
DR. DARREN WESLEY GARDNER DDS
Dentist (General Practice)
1675 N FREEDOM BLVD, STE 12A
PROVO, UT 84604
Utah County (801) 374-8970
COURTNEY CARLTON CSW
Social Worker (Clinical)
1675 N FREEDOM BLVD
PROVO, UT 84604
Utah County (385) 225-4904
MRS. ELIZABETH ANN JENSEN PT
Physical Therapist
1675 N FREEDOM BLVD, BUILDING 10B
PROVO, UT 84604
Utah County (801) 885-7624

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kent Blad's NPI number?

The NPI number for Kent Blad is 1336219906. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Where is Kent Blad located?

Kent Blad practices at 1675 N Freedom Blvd Bldg 3, Provo, UT 84604. The listed phone number is (801) 377-8000.

What is Kent Blad's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Kent Blad was last updated on October 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.