Active NPI
Jenica Taylor, MT-BC
- Music Therapist
- Eagle Mountain, UT
National Provider Identifier
1801344452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- 11729
- Practice address
- 2156 E Winter Way
Eagle Mountain, UT 84005-4279 - Phone
- (801) 707-7955
- NPI assigned
- Sep 12, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Music Therapist | 225A00000X | 11729 | UT | Primary |
Addresses
Primary practice location
2156 E Winter Way
Eagle Mountain, UT 84005-4279
Mailing address
2156 E Winter Way
Eagle Mountain, UT 84005-4279
Phone (801) 707-7955
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 |
|---|---|---|---|
| 11729 | UT | MD | Music Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473638400000",
"number": "1801344452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2156 E WINTER WAY",
"city": "EAGLE MOUNTAIN",
"state": "UT",
"postal_code": "840054279",
"telephone_number": "801-707-7955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2156 E WINTER WAY",
"city": "EAGLE MOUNTAIN",
"state": "UT",
"postal_code": "840054279",
"telephone_number": "801-707-7955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "JENICA",
"name_prefix": "Mrs.",
"credential": "MT-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-12",
"last_updated": "2016-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "UT",
"license": "11729",
"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 Sep 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.