Active NPI
Amy S Mullins, MS CCC-SLP
- Speech-Language Pathologist
- Layton, UT
National Provider Identifier
1114208337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5148768-4102
- Practice address
- 1492 W Antelope Dr. Ste 100
Layton, UT 84041 - Phone
- (801) 825-8091
- Fax
- (801) 825-8142
- NPI assigned
- Sep 1, 2011
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 5148768-4102 | UT | Primary |
Addresses
Primary practice location
1492 W Antelope Dr. Ste 100
Layton, UT 84041
Mailing address
1492 W Antelope Dr. Ste 100
Layton, UT 84041
Phone (801) 825-8091
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314835200000",
"number": "1114208337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1492 W ANTELOPE DR. STE 100",
"city": "LAYTON",
"state": "UT",
"postal_code": "84041",
"telephone_number": "801-825-8091",
"fax_number": "801-825-8142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1492 W ANTELOPE DR. STE 100",
"city": "LAYTON",
"state": "UT",
"postal_code": "84041",
"telephone_number": "801-825-8091",
"fax_number": "801-825-8142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLINS",
"first_name": "AMY",
"middle_name": "S",
"credential": "MS CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-01",
"last_updated": "2011-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "UT",
"license": "5148768-4102",
"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 Sep 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.