Active NPI
Deborah M Lener, CPNP
- Pediatric Nurse Practitioner
- Salt Lake City, UT
National Provider Identifier
1982889358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 220456-4405
- Practice address
- 964 Laird Ave
Salt Lake City, UT 84105-1819 - Phone
- (801) 474-1986
- NPI assigned
- Jan 4, 2008
- Sex
- Female
- Sole proprietor
- No
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
- Credentials
- Certified Pediatric Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 220456-4405 | UT | MD | Pediatric Nurse Practitioner |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 220456-4405 | UT | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
964 Laird Ave
Salt Lake City, UT 84105-1819
Mailing address
964 Laird Ave
Salt Lake City, UT 84105-1819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 4, 2008.
{
"created_epoch": "1199404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199404800000",
"number": "1982889358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "964 LAIRD AVE",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841051819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "964 LAIRD AVE",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841051819",
"telephone_number": "801-474-1986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENER",
"first_name": "DEBORAH",
"middle_name": "M",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-04",
"last_updated": "2008-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "UT",
"license": "220456-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jan 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.