IndividualActive
Laney Wallace
NPI 1447127188 · Nurse Practitioner · Salt Lake City, UT
Provider details
- NPI number
- 1447127188
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 14270399-4405 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Phone: (801) 662-4000
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 27128
Salt Lake City, UT 84127-0128
Additional practice locations (2)
- 3851 E Haystack St Apt A105Boise, ID 83716-5905Phone: (662) 299-6283
- 2250 N Miller Campus DrLehi, UT 84048-7233Phone: (385) 531-3000
Registry dates
- Enumerated
- 2025-10-18
- Last updated
- 2026-02-12
- Certified
- 2026-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.