Kristy Jack, CCC
NPI 1750020350 · Speech-Language Pathologist · South Salt Lake, UT
Kristy Jack, CCC is a Speech-Language Pathologist provider in South Salt Lake, UT (NPI 1750020350).
Provider details
- NPI number
- 1750020350
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- CCC
- Sex
- Female
- Sole proprietor
- No
- License
- 9438741-4102 (UT)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-06-01
- Last updated
- 2022-06-01
- Certified
- 2022-06-01
Frequently asked questions
- What is Kristy Jack's NPI number?
- Kristy Jack's National Provider Identifier (NPI) is 1750020350, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kristy Jack's specialty?
- Kristy Jack is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
- Where is Kristy Jack located?
- Kristy Jack's practice location on file with NPPES is 2500 S State St, South Salt Lake, UT 84115-3164.
- What is Kristy Jack's phone number?
- The practice phone number listed in the NPPES registry for Kristy Jack is (385) 646-0545.
- Is Kristy Jack's NPI active?
- Yes — Kristy Jack's NPI (1750020350) is active in the NPPES registry as of the last update on 2022-06-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.