Individual provider Active NPI

Marcey Gabrielle Utter, M.S. CCC-SLP

  • Speech-Language Pathologist
  • La Quinta, CA
National Provider Identifier
1508107335
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP9417 Issued in CA
Practice address
79440 Corporate Center Dr
Suite 113
La Quinta, CA 92253-7241
Phone
(760) 564-4726
Fax
(760) 564-4728
NPI assigned
Mar 4, 2013
Last updated
Mar 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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 SP9417 CA Primary

Addresses

Primary practice location

79440 Corporate Center Dr
Suite 113
La Quinta, CA 92253-7241

Mailing address

79440 Corporate Center Dr
Suite 113
La Quinta, CA 92253-7241
Phone (760) 564-4726

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SP9417CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Let's Communicate, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1508107335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79440 CORPORATE CENTER DR",
            "address_2": "SUITE 113",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922537241",
            "telephone_number": "760-564-4726",
            "fax_number": "760-564-4728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79440 CORPORATE CENTER DR",
            "address_2": "SUITE 113",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922537241",
            "telephone_number": "760-564-4726",
            "fax_number": "760-564-4728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTTER",
        "first_name": "MARCEY",
        "middle_name": "GABRIELLE",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-04",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP9417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Quinta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; 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.