Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Laura Kiane Blackett, FNP

Individual provider Family Nurse Practitioner · NPI 1912727496

Laura Kiane Blackett, FNP is a Nurse Practitioner in South Ogden, Utah. Qualified in 2024, 2 years ago. Practices with Circle of Life Inc, a 10-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
2
Licensed in
UT
In the registry since
2024
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1525 E 6000 S
South Ogden, UT 84405-7144
Phone: (801) 337-5800
Fax: (801) 337-5809
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 377805-4405 (UT)

Record details

NPI number1912727496
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedOctober 10, 2024
Last updated in NPPESOctober 10, 2024
Certification dateSeptember 30, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Circle Of Life Inc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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