Jennifer Dietrick, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14415854 Issued in UT

Practice address

365 W 1550 N Ste H
Layton, UT 84041-2279

Phone

(801) 618-7903

NPI assigned

Jul 3, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Foote Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• OT Innovations, LLC

  • Pediatric Occupational Therapist
  • Layton, UT
  • NPI 1578082954

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1487331237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 N CREEKSIDE CIR",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840373141",
            "telephone_number": "801-657-7251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 W 1550 N STE H",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840412279",
            "telephone_number": "801-618-7903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETRICK",
        "first_name": "JENNIFER",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "UT",
            "license": "14415854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "FOOTE",
            "credential": "MA, CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Katelynn Brooke Dickerson, PA-C
• Nicole Dickerson
• Sarah Elyse Dickson
• Michelle Didericksen
• Katelyn Diederich
• Dignity Home Health - Dav, LLC
• Dignity Hospice - Dav, LLC
• David Dille
• Elizabeth Dille
• Jonathon Dille

• Speech-Language Pathologist in Layton, UT
• Providers in Layton, UT by specialty
• Speech-Language Pathologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.