Active NPI
Jordyn McCall Weight Heyn
- Speech-Language Pathologist
- Riverton, UT
National Provider Identifier
1649863507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 13170882-4102
- Practice address
- 3741 W 12600 S Ste 100
Riverton, UT 84065-7215 - Phone
- (833) 577-3422
- NPI assigned
- Feb 11, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Speech-Language Pathologist | 235Z00000X | 13170882-4102 | UT | Primary |
Addresses
Primary practice location
3741 W 12600 S Ste 100
Riverton, UT 84065-7215
Mailing address
PO Box 30180
Salt Lake City, UT 84130-0180
Other names 1
- Jordyn McCall Weight
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Portales | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 13170882-4102 | UT | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1649863507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30180",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841300180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3741 W 12600 S STE 100",
"city": "RIVERTON",
"state": "UT",
"postal_code": "840657215",
"telephone_number": "833-577-3422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEYN",
"first_name": "JORDYN",
"middle_name": "MCCALL WEIGHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-11",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "UT",
"license": "13170882-4102",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Portales",
"affiliation": "N",
"endpointDescription": "ClinicNote",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1500 S Avenue K",
"city": "Portales",
"state": "NM",
"country_code": "US",
"postal_code": "881307400",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JORDYN",
"last_name": "WEIGHT",
"middle_name": "MCCALL",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Riverton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.