Active NPI
Mikeala Lutton
- Speech-Language Pathologist
- St George, UT
National Provider Identifier
1346069887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 14137911-4102
- Practice address
- 1054 E Riverside Dr Ste 201
St George, UT 84790-4829 - Phone
- (435) 222-0207
- NPI assigned
- Oct 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 14137911-4102 | UT | Primary |
Addresses
Primary practice location
1054 E Riverside Dr Ste 201
St George, UT 84790-4829
Mailing address
64 S 2790 East Cir
St George, UT 84790-1530
Phone (571) 422-6897
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 |
|---|---|---|---|
| 14137911-4102 | UT | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728518400000",
"number": "1346069887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 S 2790 EAST CIR",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847901530",
"telephone_number": "571-422-6897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1054 E RIVERSIDE DR STE 201",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847904829",
"telephone_number": "435-222-0207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTTON",
"first_name": "MIKEALA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-10",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "UT",
"license": "14137911-4102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.