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JACOB WATTS
NPI 1164279394
Student in an Organized Health Care Education/Training Program in Midvale, UT

Active since May 06, 2024
91 E FORT UNION BLVD, MIDVALE, UT 84047(801) 569-1995 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Watts NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB WATTS (NPI 1164279394) is an individual student in an organized health care education/training program in Midvale, Utah and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1164279394
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB WATTS
Location Address91 E FORT UNION BLVDMidvale, UT 84047-1531
Mailing Address1113 N 3000 ELayton, UT 84040-3007 · (760) 636-8846
Phone(801) 569-1995
Sole ProprietorNo
Enumeration DateMay 6, 2024
NPPES CertifiedMay 5, 2024
✔ NPI 1164279394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
91 E FORT UNION BLVD, Midvale, UT 84047
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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNY MARIAH THOMPSON LCSW
Social Worker (Clinical)
91 E FORT UNION BLVD
MIDVALE, UT 84047
Salt Lake County (801) 569-1995
STEFFINE AMODT SSW
Social Worker
91 E FORT UNION BLVD
MIDVALE, UT 84047
Salt Lake County (385) 275-6162
STEPHANIE FAE COWLEY ACMHC
Counselor (Mental Health)
91 E FORT UNION BLVD
MIDVALE, UT 84047
Salt Lake County (801) 508-4767
KARISSA MACDONALD CPSS
Peer Specialist
91 E FORT UNION BLVD
MIDVALE, UT 84047
Salt Lake County (801) 569-1995
ELLY SWEDBURG CPSS
Peer Specialist
91 E FORT UNION BLVD
MIDVALE, UT 84047
Salt Lake County (385) 275-6162
CHRISTOPHER HAE BSW, ASUDC STUDENT
Student in an Organized Health Care Education/Training Program
91 E FORT UNION BLVD
MIDVALE, UT 84047
Salt Lake County (801) 569-1995
ADRIAN GORDON CPSS
Peer Specialist
91 E FORT UNION BLVD
MIDVALE, UT 84047
Salt Lake County (385) 275-6162
ALLYSON JANE ANDERSON SUDC, SSW
Counselor (Addiction (Substance Use Disorder))
91 E FORT UNION BLVD
MIDVALE, UT 84047
Salt Lake County (801) 569-1995

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Watts's NPI number?

The NPI number for Jacob Watts is 1164279394. It was assigned to this individual provider in the NPPES registry on May 6, 2024.

Where is Jacob Watts located?

Jacob Watts practices at 91 E Fort Union Blvd, Midvale, UT 84047. The listed phone number is (801) 569-1995.

What is Jacob Watts's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jacob Watts was last updated on May 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.