Leslie Pollio Farrell, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

60267774405 Issued in UT

Practice address

5770 S 250 E
Ste 330
Murray, UT 84107-8100

Phone

(801) 314-4455

Fax

(801) 314-4433

NPI assigned

Jul 26, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Cottonwood Pediatric Gastroenterology

  • Pediatric Gastroenterology Physician
  • Murray, UT
  • NPI 1346595188
  NPD (past)
• Pediatric Gastroenterology and Nutrition, Inc.

  • Pediatric Gastroenterology Physician
  • Murray, UT
  • NPI 1245369693
  NPD (past)

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343260800000",
    "number": "1699021741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5770 S 250 E",
            "address_2": "STE 330",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841078100",
            "telephone_number": "801-314-4455",
            "fax_number": "801-314-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5770 S 250 E",
            "address_2": "STE 330",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841078100",
            "telephone_number": "801-314-4455",
            "fax_number": "801-314-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "LESLIE",
        "middle_name": "POLLIO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-26",
        "last_updated": "2012-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "60267774405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael O Farley, MD
• James Richard Farnsworth, MD
• Kahri Hansen Farnsworth, AU.D.
• Steven T Farnsworth, MD
• Chelsea Farrell
• Fashion Place Dental
• Fashion Place Dental PC
• Fast Track Pain and Surgical
• Masarret Ashfaq Fazili, MD
• Melanie Fazio, RN

• Nurse Practitioner in Murray, UT
• Providers in Murray, UT by specialty
• Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.