Individual provider Active NPI

Emily Spoth, LCGC

  • Genetic Counselor (M.S.)
  • Salt Lake City, UT
National Provider Identifier
1962989467
Registry record updated Jul 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
License
10882259-3602 Issued in UT
Practice address
65 S Mario Capecchi Dr
Salt Lake City, UT 84132-0005
Phone
(801) 581-2352
NPI assigned
Jul 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2018

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 10882259-3602 UT Primary

Addresses

Primary practice location

65 S Mario Capecchi Dr
Salt Lake City, UT 84132-0005

Mailing address

255 S Iowa St
Salt Lake City, UT 84102-2407

Other practice location 1

175 N Medical Drive
Salt Lake City, UT 84132-0001
Phone (801) 585-7575

Other practice location 2

729 S Arapeen Dr
Salt Lake City, UT 84108-1218
Phone (801) 585-7575

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
10882259-3602UTMDGenetic Counselor (M.S.)

NPI Registry JSON

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1962989467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 S IOWA ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 S MARIO CAPECCHI DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841320005",
            "telephone_number": "801-581-2352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 N Medical Drive",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841320001",
            "country_code": "US",
            "telephone_number": "801-585-7575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "729 S Arapeen Dr",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841081218",
            "country_code": "US",
            "telephone_number": "801-585-7575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPOTH",
        "first_name": "EMILY",
        "credential": "LCGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-26",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "UT",
            "license": "10882259-3602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; 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.