Active NPI
Leanne M. Norman, AU.D.
- Audiologist
- Salt Lake City, UT
National Provider Identifier
1972806651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 372790-4101
- Practice address
- 6165 W Pine Valley LN
Salt Lake City, UT 84118-9340 - Phone
- (801) 712-9123
- NPI assigned
- Dec 17, 2010
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 372790-4101 | UT | Primary |
Addresses
Primary practice location
6165 W Pine Valley LN
Salt Lake City, UT 84118-9340
Mailing address
6165 W Pine Valley LN
Salt Lake City, UT 84118-9340
Phone (801) 712-9123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PP1066378 | Other | UT | RAIL ROAD MEDICARE |
Other names 1
- Leanne M. Fellbaum-Norman
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lnorman36306@direct.med.utah.edu | Direct | UNIVERSITY OF UTAH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 372790-4101 | UT | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients |
Locations
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
100 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 587-7109
Interoperability endpoints
- lnorman36306@direct.med.utah.edu
Organizations & group practices 2
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.
-
- General Practice Physician
- Salt Lake City, UT
- NPI 1114321981
-
dba University of Utah Hospital Otolaryngology
- Otolaryngology Physician
- Salt Lake City, UT
- NPI 1003210808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637193600000",
"number": "1972806651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6165 W PINE VALLEY LN",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841189340",
"telephone_number": "801-712-9123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6165 W PINE VALLEY LN",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841189340",
"telephone_number": "801-712-9123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORMAN",
"first_name": "LEANNE",
"middle_name": "M.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-17",
"last_updated": "2021-11-18",
"certification_date": "2021-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "UT",
"license": "372790-4101",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "PP1066378",
"state": "UT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lnorman36306@direct.med.utah.edu",
"affiliation": "Y",
"affiliationName": "UNIVERSITY OF UTAH",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "50 N Medical Dr",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "841320001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "LEANNE",
"last_name": "FELLBAUM-NORMAN",
"middle_name": "M.",
"credential": "AU.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.