Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417103060 Individual Practitioner Female Practitioner

Jacqueline Ann Thames , LPN

Licensed Practical Nurse • Layton, UT

Professional Overview & Biography Verified Profile Summary

Jacqueline Thames, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Layton, UT. Practice services are available at 2250 N 1700 W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2250 N 1700 W

Layton, UT 840411140

Telephone 8017793001
Fax 8017746100

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Layton, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
25 Specialists

Practicing in Layton, UT (181 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License UT 4815152-3101

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
870430116009 (UT)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Charles Robertson

Technician, Other

NPI 1003966458
Tanya Sperry

Technician, Other

NPI 1013195197
Aneta Bingham

Technician, Other

NPI 1023168598
Bret Field

Technician, Other

NPI 1023278058
Megan Robbins

Technician, Other

NPI 1093933178
Rebecca Poulsen

Technician, Other

NPI 1093942963

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 14, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location August 14, 2008

Registered at 2250 N 1700 W, LAYTON, UT 840411140 (Tel: 8017793001)

📍
Updated Business Mailing Address August 14, 2008

Registered at PO BOX 460, BOUNTIFUL, UT 840110460 (Tel: 8017793001)

👤
Provider Name / Credentials Updated August 14, 2008

Recorded as JACQUELINE THAMES, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2008

Licensed Practical Nurse (License #4815152-3101 in UT)

🟢
Initial NPI Registration & Enumeration August 14, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417103060
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2008
Last Update: August 14, 2008
Sole Proprietor: No

Mailing Address

Po Box 460

Bountiful, UT 840110460

Phone: 8017793001

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.