Leisha Nolen, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

12377184-1205 Issued in UT

Practice address

288 N 1460 W
Salt Lake City, UT 84116-3231

Phone

(801) 707-5492

NPI assigned

May 14, 2008

Last updated

Jul 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• State of Utah, Department of Health

  dba San Juan Baby Watch Early Intervention

  • Early Intervention Provider Agency
  • Salt Lake City, UT
  • NPI 1811504483
  NPD

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1427225895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 142102",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841142102",
            "telephone_number": "801-707-5492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 N 1460 W",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841163231",
            "telephone_number": "801-707-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLEN",
        "first_name": "LEISHA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "UT",
            "license": "12377184-8905",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "UT",
            "license": "12377184-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ksenia Nokhrina, MD
• Nicole Nokleby, DPT
• Lilianna Nolan
• Mark A. Nolan, MD
• Travis Shawn Nolan, LAT, ATC
• Nomi Health Inc.
• Nomi Pharma, LLC
• Nomi Pharma, LLC
• John Luti Nonu
• Paul Steven Nonu

• Pediatrics Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Pediatrics Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.

Verify at the official NPI Registry.