Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Katrien Jack, PA-C
Physician Assistant in Roy, UT · enumerated 2021.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1366024390
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Registry record
Entity type Individual (Type 1)
Name Katrien Jack
Credential PA-C
Sex Female
Practice address 1915 W 5950 S, Roy, UT, 84067
Phone (801) 387-8100
Enumeration date Apr 28, 2021
Last updated in NPPES Nov 21, 2025
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 13028685-1206 (UT) Primary
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What is the NPI number for Katrien Jack?
The National Provider Identifier (NPI) for Katrien Jack is 1366024390, a Type 1 (individual) record in the CMS NPPES registry.
Where does Katrien Jack practice?
The practice location on file with NPPES is in Roy, UT. Providers can have multiple locations; NPPES lists the primary practice address.
Other providers at this practice address
Browse all → Mikio Obayashi Family Medicine Physician · Roy, UT NPI 1912923541 Zachary Campbell Family Medicine Physician · Roy, UT NPI 1326068974 Brandon Wintle Family Medicine Physician · Roy, UT NPI 1932122520 Laurence Smith Family Medicine Physician · Roy, UT NPI 1750304341 Christon Merkley Family Medicine Physician · Roy, UT NPI 1356364947 Richard Russell Physician Assistant · Roy, UT NPI 1184647786 Lara Nye Pharmacist · Roy, UT NPI 1962517300 Ihc Health Services Inc Community/Retail Pharmacy · Roy, UT NPI 1235246497
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-11-21.