Active NPI
Trevor Jameson, M.S., A.T.C.
- Specialist
- SLC, UT
National Provider Identifier
1184748691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 6312558-4810
- Practice address
- 1825 E South Campus Dr
SLC, UT 84112-0900 - Phone
- (801) 585-3861
- NPI assigned
- Mar 19, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 6312558-4810 | UT | Primary |
Addresses
Primary practice location
1825 E South Campus Dr
SLC, UT 84112-0900
Mailing address
5452 Hews PL
Salt Lake City, UT 84118-1416
Phone (801) 840-5152
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6312558-4810 | UT | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184748691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5452 HEWS PL",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841181416",
"telephone_number": "801-840-5152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 E SOUTH CAMPUS DR",
"city": "SLC",
"state": "UT",
"postal_code": "841120900",
"telephone_number": "801-585-3861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMESON",
"first_name": "TREVOR",
"name_prefix": "Mr.",
"credential": "M.S., A.T.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "UT",
"license": "6312558-4810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in SLC, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.