Active NPI
Katia Lecuyer, LDEM, CPM
- Midwife
- Holladay, UT
National Provider Identifier
1831563501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 9472656-3400
- Practice address
- 4359 S Highland Dr
Holladay, UT 84124-3539 - Phone
- (888) 755-7155
- Fax
- (801) 723-3115
- NPI assigned
- Nov 18, 2015
- Last updated
- Dec 9, 2020
- 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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 9472656-3400 | UT | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innate Midwifery LLC | Midwife | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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.