Active NPI
Kelli R Loveland, AUD
- Audiologist
- Bountiful, UT
National Provider Identifier
1346776127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 10362664-4103
- Practice address
- 1551 Renaissance Towne Dr
Bountiful, UT 84010 - Phone
- (801) 295-5581
- Fax
- (801) 295-9253
- NPI assigned
- May 11, 2017
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 10362664-4103 | UT | Primary |
Addresses
Primary practice location
1551 Renaissance Towne Dr
Bountiful, UT 84010
Mailing address
PO Box 5546
Denver, CO 80217-5546
Phone (801) 475-3481
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346776127 | Medicaid | UT |
Other names 1
- Kelli Reder
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533772800000",
"number": "1346776127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5546",
"city": "DENVER",
"state": "CO",
"postal_code": "802175546",
"telephone_number": "801-475-3481",
"fax_number": "801-475-3414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1551 RENAISSANCE TOWNE DR",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "84010",
"telephone_number": "801-295-5581",
"fax_number": "801-295-9253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVELAND",
"first_name": "KELLI",
"middle_name": "R",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2018-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "UT",
"license": "10362664-4103",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1346776127",
"state": "UT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KELLI",
"last_name": "REDER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bountiful, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.