Active NPI
Meghan Alexandra Smith
- Speech-Language Pathologist
- Layton, UT
National Provider Identifier
1215418504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 12353583-4104
- Practice address
- 1410 N Hill Field Rd Ste 3
Layton, UT 84041-5056 - Phone
- (385) 275-0492
- NPI assigned
- Aug 24, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Speech-Language Pathologist | 235Z00000X | 12353583-4104 | UT | Primary |
Addresses
Primary practice location
1410 N Hill Field Rd Ste 3
Layton, UT 84041-5056
Mailing address
415 Medical Dr Ste B102
Bountiful, UT 84010-4989
Phone (385) 275-0492
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.summitslp.com |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12353583-4104 | UT | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Speech Therapy | Single Specialty | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633478400000",
"number": "1215418504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 MEDICAL DR STE B102",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840104989",
"telephone_number": "385-275-0492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 N HILL FIELD RD STE 3",
"city": "LAYTON",
"state": "UT",
"postal_code": "840415056",
"telephone_number": "385-275-0492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "MEGHAN",
"middle_name": "ALEXANDRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-24",
"last_updated": "2021-10-06",
"certification_date": "2021-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "UT",
"license": "12353583-4104",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.summitslp.com",
"affiliation": "N",
"address_1": "1410 N Hill Field Rd Ste 3",
"city": "Layton",
"state": "UT",
"country_code": "US",
"postal_code": "840415056",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.