IndividualActive
Julie Shakib, DO
NPI 1912950817 · Pediatrics Physician · Salt Lake City, UT
Provider details
- NPI number
- 1912950817
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- Yes
- License
- 6172064-1204 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
50 N Medical Dr
Salt Lake City, UT 84132-0001
Phone: (801) 581-2205
Fax: (801) 581-3899
Street-level locationGet directions
Mailing address
Po Box 413021
Salt Lake City, UT 84141-3021
Registry dates
- Enumerated
- 2006-05-19
- Last updated
- 2021-11-08
- Certified
- 2021-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.