NPI 1861913014 · live from the CMS NPI Registry
Bailee Mikelle Goddard-Hymas, Au.D
Audiologist in Salt Lake City, UT. National Provider Identifier 1861913014, active.
NPI record
| NPI | 1861913014 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 100 N Mario Capecchi Dr Ste 1600, Salt Lake City, UT 84113 |
| Practice phone | 801-662-1000 |
| Mailing address | Po Box 30180, Salt Lake City, UT 84130 |
| Enumerated | June 28, 2017 |
| Last updated | February 16, 2024 |
| Sole proprietor | No |
| Other names | Bailee Goddard |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | 13650656-4101 (UT) |
| Audiologist | 231H00000X | 80984 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.