Active NPI
Jaclyn King Knapp
- Counselor
- Layton, UT
National Provider Identifier
1508152885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 7214302-6004
- Practice address
- 1492 W Antelope Drive,
Ste 205
Layton, UT 84041 - Phone
- (801) 643-5225
- Fax
- (801) 823-2344
- NPI assigned
- Jun 24, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 7214302-6004 | UT | Primary |
Addresses
Primary practice location
1492 W Antelope Drive,
Ste 205
Layton, UT 84041
Mailing address
2367 N 2350 E
Layton, UT 84040
Phone (801) 643-5225
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7214302-6004 | UT | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308873600000",
"number": "1508152885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2367 N 2350 E",
"city": "LAYTON",
"state": "UT",
"postal_code": "84040",
"telephone_number": "801-643-5225",
"fax_number": "801-823-2344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1492 W ANTELOPE DRIVE,",
"address_2": "STE 205",
"city": "LAYTON",
"state": "UT",
"postal_code": "84041",
"telephone_number": "801-643-5225",
"fax_number": "801-823-2344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNAPP",
"first_name": "JACLYN",
"middle_name": "KING",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-24",
"last_updated": "2011-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "UT",
"license": "7214302-6004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Layton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.