NPIMap

Organization Active NPI

Sunrise Speech Therapy

  • Hearing and Speech Clinic/Center
  • Eagle Mountain, UT
National Provider Identifier
1508640673
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
SUNRISE SPEECH THERAPY
Practice address
4095 E Pony Express Pkwy Ste 12
Eagle Mountain, UT 84005-5531
Phone
(801) 980-1510
NPI assigned
Aug 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Authorized official

Name
Kjirsten Keetch, SLPNPI 1194473033
Title
Owner
Phone
(801) 980-1510

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

Primary practice location

4095 E Pony Express Pkwy Ste 12
Eagle Mountain, UT 84005-5531

Mailing address

7213 N Silver Creek Way
Eagle Mountain, UT 84005-5191
Phone (520) 665-8023

National Provider Directory

National Provider Directory

Locations

4408 E Pony Express Pkwy
Eagle Mountain, UT 84005
Phone (801) 789-2064

4095 E Pony Express Pkwy
Ste 12
Eagle Mountain, UT 84005
Phone (435) 494-7546

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1508640673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7213 N SILVER CREEK WAY",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840055191",
            "telephone_number": "520-665-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4095 E PONY EXPRESS PKWY STE 12",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840055531",
            "telephone_number": "801-980-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "KEETCH",
        "authorized_official_first_name": "KJIRSTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-980-1510",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Mountain, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.