Individual provider Active NPI

Leisa O Sanchez, FNP-C

  • Family Nurse Practitioner
  • Murray, UT
National Provider Identifier
1902022502
Registry record updated Jun 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4924659-4405 Issued in UT
Practice address
434 W Ascension Way Ste 225
Murray, UT 84123-2985
Phone
(801) 716-7008
Fax
(888) 990-1557
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 4924659-3102 UT
Family Nurse Practitioner 363LF0000X 4924659-4405 UT Primary

Addresses

Primary practice location

434 W Ascension Way Ste 225
Murray, UT 84123-2985

Mailing address

2983 W 11770 S
South Jordan, UT 84095-7944
Phone (801) 302-8526

Other practice location 1

2983 W 11770 S
South Jordan, UT 84095-7944
Phone (801) 302-8526

Other identifiers 1

IdentifierTypeStateIssuer
1902022502MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231009000722 UT Practitioner - Nurse Practitioner 6507961620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amazing Medical Associates IncGroup PAC ID 5991606329, 24 clinicians

Practice addresses (Care Compare)

434 W Ascension Way
Suite 225
Murray, UT 84123-2985
Phone (801) 716-7008

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4924659-3102UTMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Midas Creek Home Health LLC CurrentSince Mar 8, 2007 Accepting new patients
Amazing Medical Associates, Inc CurrentSince Aug 26, 2023 Accepting new patients
Midas Creek Home Health, LLC CurrentSince Nov 1, 2006 Accepting new patients
Midas Creek Home Health & Hospice PastSince Oct 1, 2018 Accepting new patients

Locations

434 W Ascension Way
Ste 225
Salt Lake City, UT 84123
Phone (801) 716-7008

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686960000000",
    "number": "1902022502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2983 W 11770 S",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840957944",
            "telephone_number": "801-302-8526",
            "fax_number": "801-446-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 W ASCENSION WAY STE 225",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841232985",
            "telephone_number": "801-716-7008",
            "fax_number": "888-990-1557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2983 W 11770 S",
            "address_purpose": "LOCATION",
            "city": "South Jordan",
            "state": "UT",
            "postal_code": "840957944",
            "country_code": "US",
            "telephone_number": "801-302-8526",
            "fax_number": "801-446-6883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "LEISA",
        "middle_name": "O",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2023-06-17",
        "certification_date": "2023-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "UT",
            "license": "4924659-3102",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "4924659-4405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902022502",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.