Gretchen Leathers Alexander, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

292960-4405 Issued in UT

Practice address

500 Foothill Blvd
Salt Lake City, UT 84148-0001

Phone

(801) 479-4105

Fax

(801) 584-2540

NPI assigned

Oct 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Gretchen Leathers Former name

Medicare fee-for-service enrollment

Enrolled in UT, OR2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  UT

  Medicare reassignment NPD
• Wellbe Utah LLC

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1568183523

  UT

  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  OR

  Medicare reassignment
• Douglas C. Walker D.O., P.C.

  • Family Medicine Physician
  • Garland, UT
  • NPI 1306843750
  NPD (past)
• Logan Urology Clinic

  • Exclusive Provider Organization
  • Logan, UT
  • NPI 1326274507
  NPD (past)
• U-U Rehabilitation Medicine

  • Physical Medicine & Rehabilitation Physician
  • Salt Lake City, UT
  • NPI 1386673572
  NPD (past)

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338249600000",
    "number": "1508054776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14185 N 3100 W",
            "city": "COLLINSTON",
            "state": "UT",
            "postal_code": "843069749",
            "telephone_number": "435-279-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 FOOTHILL BLVD",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841480001",
            "telephone_number": "801-479-4105",
            "fax_number": "801-584-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "GRETCHEN",
        "middle_name": "LEATHERS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-12",
        "last_updated": "2012-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "UT",
            "license": "292960-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRETCHEN",
            "last_name": "LEATHERS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Abigail J. Alexander, MD
• Alexander J. Alexander, MD
• Amanda Alexander
• Avery Nicole Alexander, DPT
• Gage Lee Alexander, DNAP, RN, CRNA
• Janie Alexander
• Kadie Alexander
• Kyle Gregor Alexander, MD
• Molly Louise Alexander, M.D.
• Raymond Alexander

• All providers in Salt Lake City, UT
• Adult Health Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.