Individual provider Active NPI

Janie Defriez, LCGC

  • Genetic Counselor (M.S.)
  • American Fork, UT
National Provider Identifier
1912624933
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
License
12921097-3601 Issued in UT
Practice address
1152 E 200 N
American Fork, UT 84003-2004
Phone
(801) 855-4112
NPI assigned
Oct 20, 2022
Last updated
Oct 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.) 170300000X 12921097-3601 UT Primary

Addresses

Primary practice location

1152 E 200 N
American Fork, UT 84003-2004

Mailing address

10948 S Paddle Board Way
South Jordan, UT 84009-1319
Phone (972) 310-2333

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

LicenseStateTypeSpecialty
12921097-3601UTMDGenetic Counselor (M.S.)

NPI Registry JSON

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1912624933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10948 S PADDLE BOARD WAY",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840091319",
            "telephone_number": "972-310-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1152 E 200 N",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032004",
            "telephone_number": "801-855-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFRIEZ",
        "first_name": "JANIE",
        "credential": "LCGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "UT",
            "license": "12921097-3601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.

Verify at the official NPI Registry.