Active NPI
Leah Burkhart
- Health & Wellness Coach
- Salem, OR
National Provider Identifier
1598595571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- License
- A-3120873
- Practice address
- 1655 Liberty St SE
Salem, OR 97302-4347 - Phone
- (503) 339-7689
- Fax
- (503) 339-7557
- NPI assigned
- Aug 5, 2024
- Last updated
- Aug 5, 2024
- 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 |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | A-3120873 | CA | Primary |
Addresses
Primary practice location
1655 Liberty St SE
Salem, OR 97302-4347
Mailing address
1655 Liberty St SE
Salem, OR 97302-4347
Phone (503) 339-7689
Other practice location 1
1091 Camry Ct NE
Salem, OR 97301-1672
Phone (925) 597-2583
Other practice location 2
216 Commercial St NE
Salem, OR 97301-3410
Phone (925) 597-2583
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 |
|---|---|---|---|
| A-3120873 | CA | MD | Health & Wellness Coach |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722816000000",
"number": "1598595571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1655 LIBERTY ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973024347",
"telephone_number": "503-339-7689",
"fax_number": "503-339-7557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1655 LIBERTY ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973024347",
"telephone_number": "503-339-7689",
"fax_number": "503-339-7557"
}
],
"practiceLocations": [
{
"address_1": "1091 Camry Ct NE",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "OR",
"postal_code": "973011672",
"country_code": "US",
"telephone_number": "925-597-2583",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "216 Commercial St NE",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "OR",
"postal_code": "973013410",
"country_code": "US",
"telephone_number": "925-597-2583",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURKHART",
"first_name": "LEAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-05",
"last_updated": "2024-08-05",
"certification_date": "2024-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "CA",
"license": "A-3120873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.