Active NPI
Jacqueline S Silkey, M.D.
- Surgery Physician
- Kaysville, UT
National Provider Identifier
1508195744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 89723581205
- Practice address
- 192 S. Main St
Kaysville, UT 84037 - Phone
- (801) 882-2200
- NPI assigned
- Dec 17, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 6244 | AK | |
| Surgery Physician | 208600000X | 89723581205 | UT | Primary |
| Procedural Dermatology Physician | 207NS0135X | 26342 | AZ |
Addresses
Primary practice location
192 S. Main St
Kaysville, UT 84037
Mailing address
2012 Hill St
Kaysville, UT 84037
Phone (801) 882-2200
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26342 | AZ | MD | Procedural Dermatology Physician |
| 89723581205 | UT | MD | Surgery Physician |
| 6244 | AK | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418256000000",
"number": "1508195744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2012 HILL ST",
"city": "KAYSVILLE",
"state": "UT",
"postal_code": "84037",
"telephone_number": "801-882-2200",
"fax_number": "907-212-6593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "192 S. MAIN ST",
"city": "KAYSVILLE",
"state": "UT",
"postal_code": "84037",
"telephone_number": "801-882-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILKEY",
"first_name": "JACQUELINE",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-17",
"last_updated": "2014-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "AK",
"license": "6244",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "UT",
"license": "89723581205",
"primary": true
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "AZ",
"license": "26342",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kaysville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.