Individual provider Active NPI

Alicia Vigil-Ryan, SPT

  • Speech-Language Pathologist
  • West Jordan, UT
National Provider Identifier
1356411953
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7766767-4102 Issued in UT
Practice address
3838 Tuscaloosa Way
West Jordan, UT 84084-1429
Phone
(928) 607-4122
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

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 7766767-4102 UT Primary

Addresses

Primary practice location

3838 Tuscaloosa Way
West Jordan, UT 84084-1429

Mailing address

3838 Tuscaloosa Way
West Jordan, UT 84084-1429
Phone (928) 607-4122

Other names 1

  • Alicia Vigil 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
7766767-4102UTMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292198400000",
    "number": "1356411953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 TUSCALOOSA WAY",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840841429",
            "telephone_number": "928-607-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 TUSCALOOSA WAY",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840841429",
            "telephone_number": "928-607-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGIL-RYAN",
        "first_name": "ALICIA",
        "credential": "SPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2010-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "UT",
            "license": "7766767-4102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "VIGIL",
            "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 Dec 13, 2010; 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.