Active NPI
Tina L. Lestrange
- Registered Nurse
- Clearfield, UT
National Provider Identifier
1639572480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 1878553102
- Practice address
- 22 S. State St
Clearfield, UT 84015 - Phone
- (801) 525-5158
- Fax
- (801) 525-5071
- NPI assigned
- Oct 7, 2014
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1878553102 | UT | Primary |
Addresses
Primary practice location
22 S. State St
Clearfield, UT 84015
Mailing address
50 E. State St.
PO Box 618
Farmington, UT 84025
Phone (801) 525-5158
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 |
|---|---|---|---|
| 1878553102 | UT | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412640000000",
"number": "1639572480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 E. STATE ST.",
"address_2": "PO BOX 618",
"city": "FARMINGTON",
"state": "UT",
"postal_code": "84025",
"telephone_number": "801-525-5158",
"fax_number": "801-525-5071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 S. STATE ST",
"city": "CLEARFIELD",
"state": "UT",
"postal_code": "84015",
"telephone_number": "801-525-5158",
"fax_number": "801-525-5071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESTRANGE",
"first_name": "TINA",
"middle_name": "L.",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-07",
"last_updated": "2014-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "UT",
"license": "1878553102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clearfield, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.