LETA R FULLER MD
NPI 1982696159
Pediatrics - Neonatal-Perinatal Medicine in Ogden, UT

Active since August 16, 2005
4401 HARRISON BLVD, OGDEN, UT 84403(801) 387-4300 Get Directions Write a Review

NPPES record last updated: May 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Leta R Fuller Md NPPES

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

LETA R FULLER MD (NPI 1982696159) is an individual neonatal-perinatal medicine provider in Ogden, Utah, licensed in Utah (6000865-1205) and active in the NPI registry since August 2005. She maintains a secondary practice location in Layton.

NPPES Registry Identity

NPI1982696159
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameLETA R FULLERCredential: MD
Location Address4401 HARRISON BLVDOgden, UT 84403-3195
Mailing Address324 E 10th Ave Ste 172Slc, UT 84103-2884 · (801) 408-5155
Sole ProprietorNo
Enumeration DateAugust 16, 2005
Last NPPES UpdateMay 19, 2024
NPPES CertifiedApril 26, 2024
NPI 1982696159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Licenses Licensed in UT · 6000865-1205 Licensed in OH · 35073246
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
4401 HARRISON BLVD, Ogden, UT 84403

Secondary Practice Location 1

Location 1201 W Layton PkwyLayton, UT 84041-3692 · Phone (801) 507-2404

Other Identifiers 2

Medicaid2140178OH
Medicaid64060502KY

Accepted Insurance

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.

Hospitalist
4401 HARRISON BLVD
OGDEN, UT 84403
Nurse Practitioner
4401 HARRISON BLVD
OGDEN, UT 84403
Hospitalist
4401 HARRISON BLVD
OGDEN, UT 84403
Pharmacist
4401 HARRISON BLVD
OGDEN, UT 84403
Pharmacy (Institutional Pharmacy)
4401 HARRISON BLVD
OGDEN, UT 84403
Speech-Language Pathologist
4401 HARRISON BLVD
OGDEN, UT 84403
Internal Medicine (Pulmonary Disease)
4401 HARRISON BLVD
OGDEN, UT 84403
Nurse Practitioner (Psychiatric/Mental Health)
4401 HARRISON BLVD
OGDEN, UT 84403

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 Leta Fuller's NPI number?

The NPI number for Leta Fuller is 1982696159. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is Leta Fuller located?

Leta Fuller practices at 4401 Harrison Blvd, Ogden, UT 84403. The listed phone number is (801) 387-4300.

What is Leta Fuller's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

What insurance does Leta Fuller accept?

Health plans from Select Health list Leta Fuller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Leta Fuller was last updated on May 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.