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

Mr. Jonathan Dean Flake

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1376301895

Mr. Jonathan Dean Flake is a Nurse Practitioner in Springville, Utah. Qualified in 2024, 2 years ago. Practices with Numinus Wellness UT Inc, a 51-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
2
Licensed in
UT
In the registry since
2024

Practice location Address checks out

980 W 1275 S
Springville, UT 84663-5058
Phone: (801) 380-2538
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 11269438-4405 (UT)

Record details

NPI number1376301895
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 8, 2024
Last updated in NPPESMarch 8, 2024
Certification dateMarch 8, 2024
Mailing address980 W 1275 S, Springville, UT 84663-5058

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 Numinus Wellness Ut Inc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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