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Amelia Jackson , MS, SLP-CCC

Speech-Language Pathologist β€’ Draper, UT

Active NPI 1407664402 Individual Practitioner Female Practitioner
Practice location in NPPES

138 E 12300 S Unit 933
Draper, UT 840207976

Call 3853523983 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

138 E 12300 S Unit 933

Draper, UT 840207976

Telephone 3853523983

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Draper and Utah

18 active clinicians are listed under Speech-Language Pathologist with a practice address in Draper, UT (1,344 in Utah).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Draper

5.6% of these 18 clinicians have the CMS telehealth indicator.

5.6% of these 18 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-08-05
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES UT 12333349-4102

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Utah Division of Professional Licensing.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location August 05, 2026

Registered at 138 E 12300 S UNIT 933, DRAPER, UT 840207976 (Tel: 3853523983)

πŸ“
Updated Business Mailing Address August 28, 2025

Registered at 138 E 12300 S UNIT 933, DRAPER, UT 840207976 (Tel: 3853523983)

βœ…
NPI Profile Active December 21, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 21, 2024

Registered at 18406 W WHITE QUEST DR, EAGLE MOUNTAIN, UT 840139701 (Tel: 8013354699)

πŸ“
Business Mailing Address (Initial Record) December 21, 2024

Registered at 810 N CANVASBACK DR, LEHI, UT 840434641 (Tel: 8017266487)

πŸ‘€
Provider Name / Credentials (Initial Record) December 21, 2024

Recorded as AMELIA JACKSON, M.S., SLP-CCC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 21, 2024

Speech-Language Pathologist (license number reported to NPPES: UT 12333349-4102)

🟒
Initial NPI Registration & Enumeration December 21, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1407664402
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 21, 2024
Last Update: August 05, 2026
Sole Proprietor: Yes

Mailing Address

138 E 12300 S Unit 933

Draper, UT 840207976

Phone: 3853523983

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.