Active NPI
Heather Leigh Whitley, CPM, LDEM
- Midwife
- SLC, UT
National Provider Identifier
1457631046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 107.0076820
- Practice address
- 1174 Graystone Way
Ste 2
SLC, UT 84152 - Phone
- (801) 556-1483
- Fax
- (802) 304-1011
- NPI assigned
- Aug 26, 2011
- 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 |
|---|---|---|---|---|
| Midwife | 176B00000X | 107.0076820 | VT | Primary |
Addresses
Primary practice location
1174 Graystone Way
Ste 2
SLC, UT 84152
Mailing address
PO Box 522332
SLC, UT 84152-2332
Phone (801) 556-1483
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 |
|---|---|---|---|
| 107.0076820 | VT | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1457631046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 522332",
"city": "SLC",
"state": "UT",
"postal_code": "841522332",
"telephone_number": "801-556-1483",
"fax_number": "802-304-1011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1174 GRAYSTONE WAY",
"address_2": "STE 2",
"city": "SLC",
"state": "UT",
"postal_code": "84152",
"telephone_number": "801-556-1483",
"fax_number": "802-304-1011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITLEY",
"first_name": "HEATHER",
"middle_name": "LEIGH",
"name_prefix": "Ms.",
"credential": "CPM, LDEM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-26",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "VT",
"license": "107.0076820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in SLC, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.