Individual provider Active NPI

Roshelle Marie Leilua, HIS

  • Hearing Instrument Specialist
  • Riverton, UT
National Provider Identifier
1073182937
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
7984062-4601 Issued in UT
Practice address
4063 W 12600 S
Riverton, UT 84096-7302
Phone
(801) 495-4800
NPI assigned
Jun 23, 2021
Last updated
Jun 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 7984062-4601 UT Primary

Addresses

Primary practice location

4063 W 12600 S
Riverton, UT 84096-7302

Mailing address

1468 W Hunters View CT
Riverton, UT 84065-6160
Phone (801) 495-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7984062-4601UTMDHearing Instrument Specialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1073182937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1468 W HUNTERS VIEW CT",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840656160",
            "telephone_number": "801-495-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4063 W 12600 S",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840967302",
            "telephone_number": "801-495-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEILUA",
        "first_name": "ROSHELLE",
        "middle_name": "MARIE",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "UT",
            "license": "7984062-4601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.