Active NPI
Kiah Venzon
- Speech-Language Pathologist
- Millcreek, UT
National Provider Identifier
1821946385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 12328657-4102
- Practice address
- 1430 E 4500 S
Millcreek, UT 84117-4208 - Phone
- (385) 217-9422
- NPI assigned
- Mar 19, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 12328657-4102 | UT | Primary |
Addresses
Primary practice location
1430 E 4500 S
Millcreek, UT 84117-4208
Mailing address
1844 E Southmoor Dr
Salt Lake City, UT 84117-6955
Other practice location 1
4252 S Birkhill Blvd
Murray, UT 84107-5715
Phone (385) 425-0050
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 |
|---|---|---|---|
| 12328657-4102 | UT | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774396800000",
"number": "1821946385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1844 E SOUTHMOOR DR",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841176955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 E 4500 S",
"city": "MILLCREEK",
"state": "UT",
"postal_code": "841174208",
"telephone_number": "385-217-9422"
}
],
"practiceLocations": [
{
"address_1": "4252 S Birkhill Blvd",
"address_purpose": "LOCATION",
"city": "Murray",
"state": "UT",
"postal_code": "841075715",
"country_code": "US",
"telephone_number": "385-425-0050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VENZON",
"first_name": "KIAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-19",
"last_updated": "2026-03-25",
"certification_date": "2026-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "UT",
"license": "12328657-4102",
"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 Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.