Individual provider Active NPI

Kimberly Alicia Jenson-Baguley

  • Lactation Consultant (Non-RN)
  • Eagle Mountain, UT
National Provider Identifier
1306613559
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-320119
Practice address
7497 N Addison Ave
Eagle Mountain, UT 84005-6030
Phone
(801) 691-3403
NPI assigned
Dec 7, 2023
Last updated
Feb 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X L-320119 Primary

Addresses

Primary practice location

7497 N Addison Ave
Eagle Mountain, UT 84005-6030

Mailing address

7497 N Addison Ave
Eagle Mountain, UT 84005-6030
Phone (801) 691-3403

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": "1701907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1306613559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7497 N ADDISON AVE",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840056030",
            "telephone_number": "801-691-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7497 N ADDISON AVE",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840056030",
            "telephone_number": "801-691-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSON-BAGULEY",
        "first_name": "KIMBERLY",
        "middle_name": "ALICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-07",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "L-320119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Mountain, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.

Verify at the official NPI Registry.