LEILANI FIFITA (NPI# 1720573975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720573975 |
| Entity Type | Individual |
| Full Name | LEILANI FIFITA |
| Practice Address |
1157 S Redwood Dr Salt Lake City UT 84104-3328 |
| Practice Telephone | 3855289143 |
| Mailing Telephone | 3855289143 |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2018-06-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SH0200X |
Clinical Nurse Specialist Specialization: Home Health |
LIC201801499 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | LIC201801499 | 05 |
| Street Address |
1157 S REDWOOD DR |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84104-3328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144673013 | Neighborhood House | Clinic/Center | 423 South 1100 West, Salt Lake City, UT 84104 | 2016-07-15 |
| 1790157261 | Global Medical Therapeutics Inc | Pharmacy | 1890 S 3850 W Ste 121-a, Salt Lake City, UT 84104 | 2015-10-23 |
| 1154561090 | Stephen Kent Jones | General Practice | 174 West Parrish Lane, Centerville, UT 84104 | 2009-03-05 |
| 1013037704 | Occuaptional Health Centers of The Southwest, P.a. | Clinic/Center | 1735 South Redwood Road, Suite 115, Salt Lake City, UT 84104 | 2007-03-29 |
| 1639294721 | Ihc Health Services | Clinic/Center | 855 W 1300 S, Salt Lake City, UT 84104 | 2007-03-20 |
| 1700957552 | Neighborhood House | Custodial Care Facility | 423 So 1100 West, Salt Lake City, UT 84104 | 2006-11-13 |
| 1912014234 | Over The Road Dental | Dentist | 1953 W. California Ave, Salt Lake City, UT 84104 | 2006-08-23 |
| 1962492504 | Lifeskills Vocational Center | Day Training, Developmentally Disabled Services | 1656 W 1500 S, Salt Lake City, UT 84104 | 2005-10-25 |
| 1366439507 | Kci Usa, Inc. | Durable Medical Equipment & Medical Supplies | 1765 S 900 W Ste 88, Salt Lake City, UT 84104 | 2005-10-03 |
| 1588813521 | Concentra Health Services, Inc. | Clinic/Center | 1735 South Redwood Road, Suite 115, Salt Lake City, UT 84104 | 2008-09-15 |
| Find all providers in zip 84104 | ||||
| Taxonomy Code | 364SH0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Home Health |
| Definition to come... |
| City | SALT LAKE CITY |
| Zip Code | 84104 |
Please comment or provide details below to improve the information on LEILANI FIFITA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.