JACOB KEAN (NPI# 1760851075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760851075 |
| Entity Type | Individual |
| Full Name | JACOB KEAN |
| Credential | PH.D. |
| Practice Address |
295 Chipeta Way Williams Building, Rm 1n490 Salt Lake City UT 84108 |
| Practice Telephone | 8012133751 |
| Mailing Telephone | 8012133751 |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 22003878A | IN | Speech, Language and Hearing Service Providers |
| Street Address |
295 CHIPETA WAY WILLIAMS BUILDING, RM 1N490 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891751384 | Emily A Thorell | Pediatrics | 295 Chipeta Way, 2s010, Salt Lake City, UT 84108-1287 | 2006-04-24 |
| 1215293667 | Reena Patel Tam | Pediatrics | 295 Chipeta Way, Salt Lake City, UT 84108-1287 | 2012-04-10 |
| 1437447190 | Tiffany Kae Profsky | Nurse Practitioner | 295 Chipeta Way, Salt Lake City, UT 84108-1287 | 2011-07-15 |
| 1902110232 | Larissa Beyerlein | Pediatrics | 295 Chipeta Way, Department of Pediatric Emergency Medicine, Salt Lake City, UT 84158 | 2010-07-28 |
| 1629303839 | Caroline Hagedorn | Nurse Practitioner | 295 Chipeta Way, Salt Lake City, UT 84108-1287 | 2009-10-05 |
| 1245490424 | Eric Wallace Glissmeyer | General Acute Care Hospital | 295 Chipeta Way, Salt Lake City, UT 84108-1287 | 2008-06-11 |
| 1295995694 | France A Davis II | Physician Assistant | 295 Chipeta Way, Salt Lake City, UT 84108-1287 | 2008-06-10 |
| 1669631826 | Tamara Elena Pool | Pediatrics | 295 Chipeta Way, Salt Lake City, UT 84108-1287 | 2008-06-03 |
| 1811164031 | Shrena Patel | Pediatrics | 295 Chipeta Way, Salt Lake City, UT 84108-1287 | 2008-05-15 |
| 1225202260 | Allison Anne Keller | Emergency Medicine | 295 Chipeta Way, Salt Lake City, UT 84108-1220 | 2008-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548753056 | Maxine Ht Erickson | Assistant Behavior Analyst | 780 Guardsman Way, Salt Lake City, Ut 84108, Salt Lake City, USA 84108 | 2018-06-08 |
| 1841704061 | Robyn Carver | Occupational Therapist | 421 Wakara Wat, Salt Lake City, UT 84108 | 2017-11-27 |
| 1518478742 | Lcr Dental Sugar House | Dentist | 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 | 2017-10-16 |
| 1447708912 | Aubrianne Squire Evans | Occupational Therapist | 421 S Wakara Way Ste 201, Salt Lake City, UT 84108 | 2016-09-14 |
| 1629524426 | Ryan Weisenbeck | Specialist/Technologist | 580 S Guardsman Way, Salt Lake City, UT 84108 | 2016-08-31 |
| 1164885547 | Michael Fazzone | Student in an Organized Health Care Education/Training Program | 530 South Wakara Way, University of Urah, School of Dentistry, Salt Lake City, UT 84108 | 2016-04-01 |
| 1669833489 | Bryon Claflin | Registered Nurse | 650 S Komas Ste 200, Salt Lake City, UT 84108 | 2016-03-08 |
| 1801283833 | Autism Assement Treatment Program Adult | Psychologist | 650 S Komas, Suite 200, Salt Lake City, UT 84108 | 2015-04-16 |
| 1578993275 | Matthew and David Dental Pllc | Dentist | 1355 Foothill Drive, Salt Lake City, UT 84108 | 2013-11-15 |
| 1841631520 | Deepika Garg | Internal Medicine | 675 S Arapeen Dr Ste 205, Salt Lake City, UT 84108 | 2013-07-10 |
| Find all providers in zip 84108 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881223220 | Jacqueline Dailey Valles | Speech-Language Pathologist | 1546 E Sunnyside Ave, Salt Lake City, UT 84105-1633 | 2020-04-07 |
| 1871133264 | Lindsay Marlene Jones | Speech-Language Pathologist | 3478 E Macintosh Ln, Salt Lake City, UT 84121-4511 | 2020-01-13 |
| 1558902361 | Advanced Dysphagia Diagnostics LLC | Speech-Language Pathologist | 1465 S Ute Dr, Salt Lake City, UT 84108-2433 | 2019-10-02 |
| 1407367121 | Jennifer Anne Whelan | Speech-Language Pathologist | 630 E 18th Ave, Salt Lake City, UT 84103-3715 | 2017-10-20 |
| 1225586746 | Camille Smith | Speech-Language Pathologist | 440 D St Ste 202, Salt Lake City, UT 84103-2827 | 2016-09-13 |
| 1831563303 | Stephanie Singleton | Speech-Language Pathologist | 8 Th Ave N & C St, Salt Lake City, UT 84143-0001 | 2015-11-20 |
| 1437523230 | Breana Cannon | Speech-Language Pathologist | 1027 E Barbara Pl, 5, Salt Lake City, UT 84102-3149 | 2015-11-17 |
| 1730566050 | Katrina Holle Hahn | Speech-Language Pathologist | 44 N. Mario Capecchi Drive, Salt Lake City, UT 84114-4671 | 2015-05-06 |
| 1225435589 | Let's Talk Speech and Language Services, LLC | Speech-Language Pathologist | 1067 E Austin Ave, Salt Lake City, UT 84106-2105 | 2014-12-01 |
| 1912325895 | Kathryn Shumaker | Speech-Language Pathologist | 206 N 2100 W Ste 201, Salt Lake City, UT 84116-4740 | 2014-03-28 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84108 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.