Jacob D Gremmert

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

7434 S State St
Midvale, UT 84047-2014

Phone

(801) 456-9955

NPI assigned

Aug 24, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471996800000",
    "number": "1992250468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7434 S STATE ST",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840472014",
            "telephone_number": "801-456-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7434 S STATE ST",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840472014",
            "telephone_number": "801-456-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREMMERT",
        "first_name": "JACOB",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-24",
        "last_updated": "2016-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriella Hooper Golden
• Angelique D. Goodhue, M.D.
• Adrian Gordon, CPSS
• Shondel Gough, COTA/L
• Tony Scott Gregory, P.A.
• Chelsea Waldron Griffin, LCSW
• Garett Monty Groesbeck
• Regina Gulick, CMHC
• Tara Gunderson, CMHC
• Isabel M Gutierrez, MT-BC

• Community/Behavioral Health Agency in Midvale, UT
• Providers in Midvale, UT by specialty
• Community/Behavioral Health Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.

Verify at the official NPI Registry.