Individual provider Active NPI

Wendy Berrett, MS CCC-SLP

  • Speech-Language Pathologist
  • South Jordan, UT
National Provider Identifier
1811201163
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6045613-4102 Issued in UT
Practice address
5325 W Bingham Rim Rd
South Jordan, UT 84009-1442
Phone
(801) 412-1034
NPI assigned
Jul 28, 2010
Last updated
Apr 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 6045613-4102 UT Primary

Addresses

Primary practice location

5325 W Bingham Rim Rd
South Jordan, UT 84009-1442

Mailing address

5325 W Bingham Rim Rd
South Jordan, UT 84009-1442
Phone (801) 412-1034

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6045613-4102UTMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1811201163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5325 W BINGHAM RIM RD",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840091442",
            "telephone_number": "801-412-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 W BINGHAM RIM RD",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840091442",
            "telephone_number": "801-412-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRETT",
        "first_name": "WENDY",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-28",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "UT",
            "license": "6045613-4102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.