Individual provider Active NPI

Analiesa Marie Leonhardt, CNM, DNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Layton, UT
National Provider Identifier
1477939361
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
8377579-4402 Issued in UT
Practice address
201 W Layton Pkwy Ste 2B
Layton, UT 84041-3692
Phone
(801) 543-6850
Fax
(801) 543-6868
NPI assigned
Aug 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.1645261 CO
Registered Nurse 163W00000X 8377579-3102 UT
Advanced Practice Midwife 367A00000X C-APN.0000396-C-CNM CO
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 8377579-4402 UT Primary

Addresses

Primary practice location

201 W Layton Pkwy Ste 2B
Layton, UT 84041-3692

Mailing address

1349 W 1000 N
Farr West, UT 84404-4383
Phone (801) 473-6841

Other practice location 1

2373 G Rd
Suite 240
Grand Junction, CO 81505-1002
Phone (970) 243-7908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210319001617 UT Practitioner - Certified Nurse Midwife (CNM) 9830494103 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
RN.1645261COMDRegistered Nurse
C-APN.0000396-C-CNMCOMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince May 3, 2021 Accepting new patients
Health Services Inc CurrentSince May 3, 2021 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc Past Accepting new patients
Community Medical Group, LLC Past Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

201 W Layton Pkwy
Ste 2B
Layton, UT 84041
Phone (801) 543-6850

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1477939361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 W 1000 N",
            "city": "FARR WEST",
            "state": "UT",
            "postal_code": "844044383",
            "telephone_number": "801-473-6841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W LAYTON PKWY STE 2B",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840413692",
            "telephone_number": "801-543-6850",
            "fax_number": "801-543-6868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2373 G Rd",
            "address_2": "Suite 240",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815051002",
            "country_code": "US",
            "telephone_number": "970-243-7908",
            "fax_number": "970-256-0656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEONHARDT",
        "first_name": "ANALIESA",
        "middle_name": "MARIE",
        "credential": "CNM, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.1645261",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "8377579-3102",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CO",
            "license": "C-APN.0000396-C-CNM",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "UT",
            "license": "8377579-4402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

Verify at the official NPI Registry.