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LYDIA LEAVITT MD
NPI 1508552498
Student in an Organized Health Care Education/Training Program in Slc, UT

Active since April 13, 2023PECOS Enrolled
1250 E 3900 S STE 260, SLC, UT 84124(801) 265-2000 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2025, Apr 13, 2023 (2 updates tracked since 2023).

About Lydia Leavitt Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYDIA LEAVITT MD (NPI 1508552498) is an individual student in an organized health care education/training program in Slc, Utah, licensed in Utah (NONE) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508552498
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLYDIA LEAVITTCredential: MD
Location Address1250 E 3900 S STE 260Slc, UT 84124-1371
Mailing Address1250 E 3900 S Ste 260Slc, UT 84124-1371 · (801) 265-2000
Phone(801) 265-2000
Sole ProprietorNo
Enumeration DateApril 13, 2023
Last NPPES UpdateJuly 22, 20252 updates tracked since enumeration
NPPES CertifiedJuly 22, 2025
✔ NPI 1508552498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in UT · NONE
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1250 E 3900 S STE 260, Slc, UT 84124
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lydia Leavitt Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICHOLAS DAVID KRESS MD
Student in an Organized Health Care Education/Training Program
1250 E 3900 S STE 260
SALT LAKE CITY, UT 84124
Salt Lake County (801) 265-2000
NATASHA GREENE MD
Family Medicine
1250 E 3900 S STE 260
SALT LAKE CITY, UT 84124
Salt Lake County (801) 265-2000
ALI KOEHLER COFFEE DO
Student in an Organized Health Care Education/Training Program
1250 E 3900 S STE 260
SALT LAKE CITY, UT 84124
Salt Lake County (801) 265-2000
CARLINE POWELL DO
Family Medicine
1250 E 3900 S STE 260
SLC, UT 84124
Salt Lake County (801) 265-2000
HARRIET ELIZABETH KOBALL DO
Student in an Organized Health Care Education/Training Program
1250 E 3900 S STE 260
SALT LAKE CITY, UT 84124
Salt Lake County (801) 265-2000
TEGAN ELIZABETH SPANGRUDE DNP
Nurse Practitioner (Family)
1250 E 3900 S STE 260
SALT LAKE CITY, UT 84124
Salt Lake County (801) 265-2000
KELLY ANDERSON DNP, APRN-CNP, FNP-C
Nurse Practitioner (Family)
1250 E 3900 S STE 260
SALT LAKE CITY, UT 84124
Salt Lake County (801) 265-2000
ELISE R BLASEG MD
Family Medicine
1250 E 3900 S STE 260
SALT LAKE CITY, UT 84124
Salt Lake County (801) 265-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lydia Leavitt's NPI number?

The NPI number for Lydia Leavitt is 1508552498. It was assigned to this individual provider in the NPPES registry on April 13, 2023.

Where is Lydia Leavitt located?

Lydia Leavitt practices at 1250 E 3900 S Ste 260, Slc, UT 84124. The listed phone number is (801) 265-2000.

What is Lydia Leavitt's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Lydia Leavitt enrolled in Medicare?

Yes. Lydia Leavitt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lydia Leavitt was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.