Active NPI
Brecka Banner
- Social Worker
- Salt Lake City, UT
National Provider Identifier
1205660289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 14236872-3502
- Practice address
- 501 S Chipeta Way
Salt Lake City, UT 84108-1222 - Phone
- (801) 587-7537
- NPI assigned
- Aug 30, 2024
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 14236872-3502 | UT | Primary |
Addresses
Primary practice location
501 S Chipeta Way
Salt Lake City, UT 84108-1222
Mailing address
9637 S Willow Trail Way
South Jordan, UT 84095-5952
Phone (513) 227-0903
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1205660289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9637 S WILLOW TRAIL WAY",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840955952",
"telephone_number": "513-227-0903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 S CHIPETA WAY",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841081222",
"telephone_number": "801-587-7537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANNER",
"first_name": "BRECKA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-30",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "UT",
"license": "14236872-3502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.