Active NPI
Lesila Michelle Fonokalafi, TCM
- Case Manager/Care Coordinator
- Ogden, UT
National Provider Identifier
1356568612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 237 26TH St
Ogden, UT 84401-3105 - Phone
- (801) 625-3700
- Fax
- (801) 625-3690
- NPI assigned
- Apr 19, 2007
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
237 26TH St
Ogden, UT 84401-3105
Mailing address
2046 Adams Ave Rear 3
Ogden, UT 84401-0521
Phone (801) 394-5733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 876000308007 | Medicaid | UT |
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": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1356568612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2046 ADAMS AVE REAR 3",
"city": "OGDEN",
"state": "UT",
"postal_code": "844010521",
"telephone_number": "801-394-5733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "237 26TH ST",
"city": "OGDEN",
"state": "UT",
"postal_code": "844013105",
"telephone_number": "801-625-3700",
"fax_number": "801-625-3690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONOKALAFI",
"first_name": "LESILA",
"middle_name": "MICHELLE",
"credential": "TCM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "876000308007",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.