Active NPI
Taelor Leonelli
- Case Management Registered Nurse
- Tooele, UT
National Provider Identifier
1215552724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- 11579633-3102
- Practice address
- 151 N Main St
Tooele, UT 84074-2141 - Phone
- (435) 277-2300
- Fax
- (435) 277-2304
- NPI assigned
- Jun 10, 2020
- Last updated
- Jun 10, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 11579633-3102 | UT | Primary |
Addresses
Primary practice location
151 N Main St
Tooele, UT 84074-2141
Mailing address
151 N Main St
Tooele, UT 84074-2141
Phone (435) 277-2300
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11579633-3102 | UT | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591747200000",
"number": "1215552724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 N MAIN ST",
"city": "TOOELE",
"state": "UT",
"postal_code": "840742141",
"telephone_number": "435-277-2300",
"fax_number": "435-277-2304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 N MAIN ST",
"city": "TOOELE",
"state": "UT",
"postal_code": "840742141",
"telephone_number": "435-277-2300",
"fax_number": "435-277-2304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONELLI",
"first_name": "TAELOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-10",
"last_updated": "2020-06-10",
"certification_date": "2020-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "UT",
"license": "11579633-3102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tooele, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.