Active NPI
Jessica Sutton
- Speech-Language Pathologist
- Layton, UT
National Provider Identifier
1508407917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2649
- Practice address
- 915 N 400 W Ste 110
Layton, UT 84041-2376 - Phone
- (801) 217-3390
- NPI assigned
- Oct 7, 2019
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2649 | NV | Primary |
Addresses
Primary practice location
915 N 400 W Ste 110
Layton, UT 84041-2376
Mailing address
125 E Regena Ave Unit 224
North Las Vegas, NV 89031-3648
Phone (702) 280-2949
Other practice location 1
2012 S Jones Blvd
Las Vegas, NV 89146-3151
Phone (702) 360-1137
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 |
|---|---|---|---|
| 2649 | NV | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656288000000",
"number": "1508407917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 E REGENA AVE UNIT 224",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890313648",
"telephone_number": "702-280-2949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 N 400 W STE 110",
"city": "LAYTON",
"state": "UT",
"postal_code": "840412376",
"telephone_number": "801-217-3390"
}
],
"practiceLocations": [
{
"address_1": "2012 S Jones Blvd",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891463151",
"country_code": "US",
"telephone_number": "702-360-1137",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUTTON",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-07",
"last_updated": "2022-06-27",
"certification_date": "2022-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NV",
"license": "2649",
"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 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.