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KRISTY ANN JACK CCC
NPI 1750020350
Speech-Language Pathologist in South Salt Lake, UT

Active since June 01, 2022
2500 S STATE ST, SOUTH SALT LAKE, UT 84115(385) 646-0545 Get Directions Write a Review

NPPES record last updated: June 1, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kristy Ann Jack Ccc NPPES

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

KRISTY ANN JACK CCC (NPI 1750020350) is an individual speech-language pathologist provider in South Salt Lake, Utah, licensed in Utah (9438741-4102) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1750020350
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKRISTY ANN JACKCredential: CCC
Location Address2500 S STATE STSouth Salt Lake, UT 84115-3164
Mailing Address4332 W Golf CirSouth Jordan, UT 84009-9780 · (801) 243-8094
Phone(385) 646-0545
Sole ProprietorNo
Enumeration DateJune 1, 2022
NPPES CertifiedJune 1, 2022
✔ NPI 1750020350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in UT · 9438741-4102
Definition
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.
2500 S STATE ST, South Salt Lake, UT 84115
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Other Providers at the Same Location NPPES 20

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

JENNIFER PAYNE WHITLOCK
Social Worker (School)
2500 S STATE ST
SOUTH SALT LAKE, UT 84115
Salt Lake County (385) 646-5000
PAUL S MACFARLANE MS CCC SLP
Speech-Language Pathologist
2500 S STATE ST
SOUTH SALT LAKE, UT 84115
Salt Lake County (385) 646-5000
KIMBERLY SUE LEWIS
Speech-Language Pathologist
2500 S STATE ST
SOUTH SALT LAKE, UT 84115
Salt Lake County (385) 646-5000
MS. STEPHANIE BAILEY M.ED.
Psychologist (School)
2500 S STATE ST
SOUTH SALT LAKE, UT 84115
Salt Lake County (385) 646-9853
LAURA BETH ROGERS CSW
Social Worker
2500 S STATE ST
SOUTH SALT LAKE, UT 84115
Salt Lake County (385) 646-5000
AMY ELMS
Speech-Language Pathologist
2500 S STATE ST
SOUTH SALT LAKE, UT 84115
Salt Lake County (385) 646-5000
HALEY SCHOOLER
Social Worker (School)
2500 S STATE ST
SOUTH SALT LAKE, UT 84115
Salt Lake County (385) 646-5000
KIMBERLY SOMMERS LCSW
Social Worker (School)
2500 S STATE ST
SOUTH SALT LAKE, UT 84115
Salt Lake County (385) 646-5000

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 Kristy Jack's NPI number?

The NPI number for Kristy Jack is 1750020350. It was assigned to this individual provider in the NPPES registry on June 1, 2022.

Where is Kristy Jack located?

Kristy Jack practices at 2500 S State St, South Salt Lake, UT 84115. The listed phone number is (385) 646-0545.

What is Kristy Jack's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Kristy Jack was last updated on June 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.