Kjirsten Cynthia Noel Keetch, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

11785473-4102 Issued in UT

Practice address

7213 N Silver Creek Way
Eagle Mountain, UT 84005-5191

Phone

(801) 980-1510

NPI assigned

Mar 10, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kjirsten Cynthia Noel Collins Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Sunrise Speech Therapy

  • Hearing and Speech Clinic/Center
  • Eagle Mountain, UT
  • NPI 1508640673
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1194473033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7213 N SILVER CREEK WAY",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840055191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7213 N SILVER CREEK WAY",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840055191",
            "telephone_number": "801-980-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEETCH",
        "first_name": "KJIRSTEN",
        "middle_name": "CYNTHIA NOEL",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "UT",
            "license": "11785473-4102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KJIRSTEN",
            "last_name": "COLLINS",
            "middle_name": "CYNTHIA NOEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stacie Helene Jones, PA-C
• Nikki Jorgensen
• Marley Juarez, CMHC
• Kimberly A Judd, IBCLC
• KDB, LLC
• Madison Erin Knight
• Camilla Knudsen
• Logan Kupitz, PA-C
• Lake Mountain Dental Eagle Mountain LLC
• Jay Cannon Lambert, PA

• Speech-Language Pathologist in Eagle Mountain, UT
• Providers in Eagle Mountain, UT by specialty
• Speech-Language Pathologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.