Active NPI
Taylor Chan, RD
- Registered Dietitian
- Layton, UT
National Provider Identifier
1073286753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 12346832-4901
- Practice address
- 2984 N Hill Field Rd Ste A1
Layton, UT 84041-1306 - Phone
- (443) 987-7526
- NPI assigned
- Jul 28, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 12346832-4901 | UT | Primary |
Addresses
Primary practice location
2984 N Hill Field Rd Ste A1
Layton, UT 84041-1306
Mailing address
660 S Country Creek Dr
Layton, UT 84041-4293
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12346832-4901 | UT | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627430400000",
"number": "1073286753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 S COUNTRY CREEK DR",
"city": "LAYTON",
"state": "UT",
"postal_code": "840414293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2984 N HILL FIELD RD STE A1",
"city": "LAYTON",
"state": "UT",
"postal_code": "840411306",
"telephone_number": "443-987-7526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "TAYLOR",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-28",
"last_updated": "2021-07-28",
"certification_date": "2021-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "UT",
"license": "12346832-4901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Layton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.