Carie Jean Andersen

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

10892908-4104 Issued in UT

Practice address

471 Heritage Park Blvd Ste 5
Layton, UT 84041-5623

Phone

(801) 217-3390

NPI assigned

Mar 21, 2019

Last updated

Mar 21, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Carie Jean Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1992265417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "773 W ABBEY WAY",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840413865",
            "telephone_number": "801-645-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 HERITAGE PARK BLVD STE 5",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840415623",
            "telephone_number": "801-217-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "CARIE",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "UT",
            "license": "10892908-4104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARIE",
            "last_name": "SMITH",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Grace Amidan
• Brent R Amil, MD
• Laura Andelin
• Adrianne Andersen, OTD OTR/L
• Camie Andersen
• Shelby Andersen, PHARMD
• Alyssa Anderson
• Becky L Anderson, LCSW
• Daniel Anderson, MD
• Dylan Anderson

• Speech-Language Pathologist in Layton, UT
• Providers in Layton, UT by specialty
• Speech-Language Pathologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; 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.