Individual provider Active NPI

Darbie Kay Leatherow

  • Behavior Technician
  • Salt Lake City, UT
National Provider Identifier
1790265569
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
515 S 700 E Ste 2a
Salt Lake City, UT 84102
Phone
(801) 935-4171
NPI assigned
Aug 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

515 S 700 E Ste 2a
Salt Lake City, UT 84102

Mailing address

515 S 700 E Ste 2a
Salt Lake City, UT 84102-2855
Phone (801) 935-4171

Other practice location 1

13947 S Newburg Dr
Herriman, UT 84096-6787
Phone (801) 506-6695

Other practice location 2

13947 S Newburg Dr
Herriman, UT 84096-6787
Phone (801) 506-6695

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

NPI Registry JSON

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1790265569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 S 700 E STE 2A",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022855",
            "telephone_number": "801-935-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S 700 E STE 2A",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84102",
            "telephone_number": "801-935-4171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13947 S Newburg Dr",
            "address_purpose": "LOCATION",
            "city": "Herriman",
            "state": "UT",
            "postal_code": "840966787",
            "country_code": "US",
            "telephone_number": "801-506-6695",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13947 S Newburg Dr",
            "address_purpose": "LOCATION",
            "city": "Herriman",
            "state": "UT",
            "postal_code": "840966787",
            "country_code": "US",
            "telephone_number": "801-506-6695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEATHEROW",
        "first_name": "DARBIE",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.