Active NPI
Leann Chlarson Reeves, SPEECH-LANGUAGE PATH
- Speech-Language Pathologist
- Logan, UT
National Provider Identifier
1881615797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 111071-4102
- Practice address
- 1400 N 500 E
Logan, UT 84341-2455 - Phone
- (435) 716-1000
- NPI assigned
- Jul 23, 2006
- Last updated
- Jan 30, 2019
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 111071-4102 | UT | Primary |
Addresses
Primary practice location
1400 N 500 E
Logan, UT 84341-2455
Mailing address
1034 North 500 West
Provo, UT 84604
Phone (801) 357-7448
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 870269232484 | Medicaid | UT |
Other names 1
- Leann Chlarson
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 |
|---|---|---|---|
| 111071-4102 | UT | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548806400000",
"number": "1881615797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1034 NORTH 500 WEST",
"city": "PROVO",
"state": "UT",
"postal_code": "84604",
"telephone_number": "801-357-7448",
"fax_number": "801-357-7630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 N 500 E",
"city": "LOGAN",
"state": "UT",
"postal_code": "843412455",
"telephone_number": "435-716-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEVES",
"first_name": "LEANN",
"middle_name": "CHLARSON",
"credential": "SPEECH-LANGUAGE PATH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-23",
"last_updated": "2019-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "UT",
"license": "111071-4102",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "870269232484",
"state": "UT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LEANN",
"last_name": "CHLARSON",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.