LEILANI FIFITA
NPI 1720573975
Clinical Nurse Specialist - Home Health in Salt Lake City, UT

Active since June 28, 2018
1157 S REDWOOD DR, SALT LAKE CITY, UT 84104(385) 528-9143 Get Directions Write a Review

NPPES record last updated: June 28, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Leilani Fifita NPPES

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

LEILANI FIFITA (NPI 1720573975) is an individual home health provider in Salt Lake City, Utah, licensed in Utah (LIC201801499) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1720573975
Entity TypeIndividualFemale
Primary Taxonomy364SH0200X
Provider Legal NameLEILANI FIFITA
Location Address1157 S REDWOOD DRSalt Lake City, UT 84104-3328
Mailing Address1157 S Redwood DrSalt Lake City, UT 84104-3328 · (385) 528-9143
Sole ProprietorYes
Enumeration DateJune 28, 2018
NPI 1720573975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Nurse Specialist · Home HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SH0200X
License Licensed in UT · LIC201801499
1157 S REDWOOD DR, Salt Lake City, UT 84104

Other Identifiers 1

MedicaidLIC201801499UT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Leilani Fifita's NPI number?

The NPI number for Leilani Fifita is 1720573975. It was assigned to this individual provider in the NPPES registry on June 28, 2018.

Where is Leilani Fifita located?

Leilani Fifita practices at 1157 S Redwood Dr, Salt Lake City, UT 84104. The listed phone number is (385) 528-9143.

What is Leilani Fifita's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Home Health, with taxonomy code 364SH0200X.

When was this NPI record last updated?

The NPPES record for Leilani Fifita was last updated on June 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.