Individual provider Active NPI

Jennie Vagher

  • Genetic Counselor (M.S.)
  • SLC, UT
National Provider Identifier
1346769536
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
License
10515094-3601 Issued in UT
Practice address
2000 Circle of Hope Dr RM 1719.1
SLC, UT 84112-5550
Phone
(801) 213-6163
Fax
(801) 585-5763
NPI assigned
Sep 19, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.) 170300000X 10515094-3601 UT Primary

Addresses

Primary practice location

2000 Circle of Hope Dr RM 1719.1
SLC, UT 84112-5550

Mailing address

2000 Circle of Hope Dr RM 1719.1
SLC, UT 84112-5550
Phone (801) 213-6163

Other practice location 1

425 J St
Slc, UT 84103-3148
Phone (303) 907-2637

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
10515094-3601UTMDGenetic Counselor (M.S.)

NPI Registry JSON

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1346769536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 CIRCLE OF HOPE DR RM 1719.1",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841125550",
            "telephone_number": "801-213-6163",
            "fax_number": "801-585-5763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CIRCLE OF HOPE DR RM 1719.1",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841125550",
            "telephone_number": "801-213-6163",
            "fax_number": "801-585-5763"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 J St",
            "address_purpose": "LOCATION",
            "city": "Slc",
            "state": "UT",
            "postal_code": "841033148",
            "country_code": "US",
            "telephone_number": "303-907-2637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAGHER",
        "first_name": "JENNIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "UT",
            "license": "10515094-3601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in SLC, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.