Individual provider Active NPI

Erin Hargraves

  • Speech-Language Pathologist
  • West Jordan, UT
National Provider Identifier
1295224384
Registry record updated May 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
97655604102 Issued in UT
Practice address
8717 S 5170 W
West Jordan, UT 84081-3347
Phone
(503) 409-4316
NPI assigned
May 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 97655604102 UT Primary

Addresses

Primary practice location

8717 S 5170 W
West Jordan, UT 84081-3347

Mailing address

8717 S 5170 W
West Jordan, UT 84081-3347
Phone (503) 409-4316

Other names 1

  • Erin Yankus Former name

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

LicenseStateTypeSpecialty
97655604102UTMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525392000000",
    "number": "1295224384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8717 S 5170 W",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840813347",
            "telephone_number": "503-409-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8717 S 5170 W",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840813347",
            "telephone_number": "503-409-4316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARGRAVES",
        "first_name": "ERIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-04",
        "last_updated": "2018-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "UT",
            "license": "97655604102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "YANKUS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; 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.