Individual provider Active NPI

Valerie J Elhalta

  • Lay Midwife
  • Eagle Mountain, UT
National Provider Identifier
1104008945
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lay MidwifeTaxonomy code 175M00000X
License
NA Issued in UT
Practice address
4048 Russell Rd
Eagle Mountain, UT 84005-4244
Phone
(801) 472-4102
NPI assigned
Dec 4, 2007
Last updated
Dec 4, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lay Midwife 175M00000X
Lay Midwife 175M00000X NA UT Primary

Addresses

Primary practice location

4048 Russell Rd
Eagle Mountain, UT 84005-4244

Mailing address

4048 Russell Rd
Eagle Mountain, UT 84005-4244
Phone (801) 472-4102

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

NPI Registry JSON

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1104008945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4048 RUSSELL RD",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840054244",
            "telephone_number": "801-472-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4048 RUSSELL RD",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840054244",
            "telephone_number": "801-472-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELHALTA",
        "first_name": "VALERIE",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175M00000X",
            "taxonomy_group": "",
            "desc": "Midwife, Lay",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175M00000X",
            "taxonomy_group": "",
            "desc": "Midwife, Lay",
            "state": "UT",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Mountain, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.