Individual provider Active NPI

Katia Lecuyer, LDEM, CPM

  • Midwife
  • Holladay, UT
National Provider Identifier
1831563501
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
9472656-3400 Issued in UT
Practice address
4359 S Highland Dr
Holladay, UT 84124-3539
Phone
(888) 755-7155
Fax
(801) 723-3115
NPI assigned
Nov 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 9472656-3400 UT Primary

Addresses

Primary practice location

4359 S Highland Dr
Holladay, UT 84124-3539

Mailing address

1222 E 900 S
Salt Lake City, UT 84105-1528
Phone (888) 755-7155

Other practice location 1

5107 S 900 E Ste 140
Murray, UT 84117-6630
Phone (801) 590-8980

Other practice location 2

5107 S 900 E Ste 140
Murray, UT 84117
Phone (801) 590-8980

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

LicenseStateTypeSpecialty
9472656-3400UTMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Innate Midwifery LLC Midwife CurrentSince Jan 3, 2021 Accepting new patients

Locations

4359 S Highland Dr
Slc, UT 84124
Phone (760) 815-6923

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1831563501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 E 900 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841051528",
            "telephone_number": "888-755-7155",
            "fax_number": "801-723-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4359 S HIGHLAND DR",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841243539",
            "telephone_number": "888-755-7155",
            "fax_number": "801-723-3115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5107 S 900 E Ste 140",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "UT",
            "postal_code": "841176630",
            "country_code": "US",
            "telephone_number": "801-590-8980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5107 S 900 E Ste 140",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "UT",
            "postal_code": "84117",
            "country_code": "US",
            "telephone_number": "801-590-8980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LECUYER",
        "first_name": "KATIA",
        "credential": "LDEM, CPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-18",
        "last_updated": "2020-12-09",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "UT",
            "license": "9472656-3400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holladay, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.