Jaime Alden Booz
Individual provider Active NPI Speech-Language Pathologist · Midvale, UT
NPI 1083245690 · NPPES record last updated Aug 16, 2023
Key facts
- NPI
- 1083245690
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 10231059-4102 (UT)
- Practice address
- 1012 W Jordan River Blvd
Midvale, UT 84047-4865 - Phone
- (801) 647-5691
- NPI assigned
- Feb 1, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200401003159 | UT | Practitioner - Qualified Speech Language Pathologist | 2567891112 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 10231059-4102 | UT | Yes |
Addresses
Primary practice location
1012 W Jordan River Blvd
Midvale, UT 84047-4865
Mailing address
655 E 3065 S
South Salt Lake, UT 84106-1350
Phone (801) 647-5691
Other practice location 1
50 N Medical Dr
Salt Lake City, UT 84132-0001
Phone (801) 647-5691
Other names
- Jaime Alden Booz
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbooz412632@direct.med.utah.edu | Direct | University of Utah |
Other providers in Midvale, UT
- Karen Bissio
- Ronald J Blackhurst
- Daniel Joseph Bonanno
- Triniti Bond
- William Edward Joseph Book
- Amy Ruth Bowen
- Logan Bowen
- Ronald Smith Bowen
- Rian Alexandra Boyd
- Jenikka Brady
All providers in Midvale, UT · Speech-Language Pathologist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.