Active NPI
Bryanna J Lee, DEM
- Midwife
- Tooele, UT
National Provider Identifier
1942831557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- Practice address
- 453 N Main St
Tooele, UT 84074-1654 - Phone
- (435) 249-7292
- Fax
- (435) 578-0720
- NPI assigned
- Feb 1, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
453 N Main St
Tooele, UT 84074-1654
Mailing address
266 Daniel Dr
Tooele, UT 84074-9674
Phone (385) 225-0074
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | clientcare.net |
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": "1580515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580515200000",
"number": "1942831557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "266 DANIEL DR",
"city": "TOOELE",
"state": "UT",
"postal_code": "840749674",
"telephone_number": "385-225-0074",
"fax_number": "435-578-0720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "453 N MAIN ST",
"city": "TOOELE",
"state": "UT",
"postal_code": "840741654",
"telephone_number": "435-249-7292",
"fax_number": "435-578-0720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "BRYANNA",
"middle_name": "J",
"credential": "DEM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-01",
"last_updated": "2020-02-01",
"certification_date": "2020-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "clientcare.net",
"affiliation": "N",
"address_1": "453 N Main St",
"city": "Tooele",
"state": "UT",
"country_code": "US",
"postal_code": "840741654",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Tooele, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.