Active NPI
Alyssa Lettich, MD
- Neurology Physician
- Murray, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 367245-1205
- Practice address
- 5171 S Cottonwood St Ste 135
Murray, UT 84107-5704 - Phone
- (801) 314-5500
- NPI assigned
- Jun 18, 2009
- Last updated
- Aug 5, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 367245-1205 | UT | Primary |
Addresses
Primary practice location
5171 S Cottonwood St Ste 135
Murray, UT 84107-5704
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | alyssa.lettich@direct.imail.org | ||
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Bluemark LLC / Office Ally |
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: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- University Central del Caribe Escuela de Medicina, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5171 S Cottonwood St
Suite 810
Murray, UT 84107-5705
Phone (801) 507-9800
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 367245-1205 | UT | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Bimc Faculty Practice | Past | Accepting new patients | |
| MMC Division of Neurology FPP | Neurology | Past | Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
5171 S Cottonwood St
Ste 810
Salt Lake City, UT 84107
Phone (801) 507-9800
5770 S 250 E
Ste 135
Salt Lake Cty, UT 84107
Phone (801) 263-3416
1300 SE Cardinal Ct
Ste 190
Vancouver, WA 98683
Phone (360) 448-4479
Interoperability endpoints
- alyssa.lettich@direct.imail.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Internal Medicine Physician
- New York, NY
- NPI 1144422593
-
- Neurology Physician
- Brooklyn, NY
- NPI 1497838114
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Intermountain Health Riverton Hospital
- General Acute Care Hospital
- Riverton, UT
- NPI 1154551919
-
dba Intermountain Health Intermountain Medical Center
- General Acute Care Hospital
- Murray, UT
- NPI 1043220650
-
dba Intermountain Health LDS Hospital
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1528078581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754352000000",
"number": "1518194455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27128",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5171 S COTTONWOOD ST STE 135",
"city": "MURRAY",
"state": "UT",
"postal_code": "841075704",
"telephone_number": "801-314-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LETTICH",
"first_name": "ALYSSA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-18",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "UT",
"license": "367245-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "alyssa.lettich@direct.imail.org",
"affiliation": "N",
"address_1": "5171 S Cottonwood St",
"address_2": "Suite 810",
"city": "Murray",
"state": "UT",
"country_code": "US",
"postal_code": "841075704",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.2019.3",
"affiliationName": "Bluemark LLC / Office Ally",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "1300 SE Cardinal Ct Ste 190",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986839683",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.