Active NPI
Kayla Jessop, RDN, CDN, CEDS-S
- Registered Dietitian
- Millcreek, UT
National Provider Identifier
1669832853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86027147
- Practice address
- 4578 S Highland Dr Ste 380
Millcreek, UT 84117-4204 - Phone
- (801) 888-3397
- NPI assigned
- Mar 1, 2016
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 008436-1 | NY | |
| Registered Dietitian | 133V00000X | 86027147 | UT | Primary |
Addresses
Primary practice location
4578 S Highland Dr Ste 380
Millcreek, UT 84117-4204
Mailing address
2823 W 3325 N
Farr West, UT 84404-8632
Phone (801) 888-3397
Other practice location 1
15331 W Bell Rd Ste 212
Surprise, AZ 85374-4104
Phone (801) 888-3397
Other practice location 2
14050 N 83rd Ave Ste 290
Peoria, AZ 85381-5650
Phone (801) 888-3397
Other practice location 3
498 N 900 W Ste 200
Kaysville, UT 84037-4153
Phone (801) 888-3397
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 |
|---|---|---|---|
| 86027147 | UT | MD | Registered Dietitian |
| 008436-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kayla Jessop Nutrition Company | Dietitian, Registered | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668729600000",
"number": "1669832853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2823 W 3325 N",
"city": "FARR WEST",
"state": "UT",
"postal_code": "844048632",
"telephone_number": "801-888-3397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4578 S HIGHLAND DR STE 380",
"city": "MILLCREEK",
"state": "UT",
"postal_code": "841174204",
"telephone_number": "801-888-3397"
}
],
"practiceLocations": [
{
"address_1": "15331 W Bell Rd Ste 212",
"address_purpose": "LOCATION",
"city": "Surprise",
"state": "AZ",
"postal_code": "853744104",
"country_code": "US",
"telephone_number": "801-888-3397",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14050 N 83rd Ave Ste 290",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "AZ",
"postal_code": "853815650",
"country_code": "US",
"telephone_number": "801-888-3397",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "498 N 900 W Ste 200",
"address_purpose": "LOCATION",
"city": "Kaysville",
"state": "UT",
"postal_code": "840374153",
"country_code": "US",
"telephone_number": "801-888-3397",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JESSOP",
"first_name": "KAYLA",
"name_prefix": "Ms.",
"credential": "RDN, CDN, CEDS-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-01",
"last_updated": "2022-11-18",
"certification_date": "2022-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "008436-1",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "UT",
"license": "86027147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Millcreek, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.