MEDICARE: LEXIE JO CALLOWAY JEX PA-C, RDN, CD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant		UT
2	133V00000X	Registered Dietitian	12382182-4901	UT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083286140
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEXIE JO CALLOWAY JEX PA-C, RDN, CD

Provider Business Mailing Address
First Line	:	1378 E 6000 S
Second Line	:
City	:	SOUTH OGDEN
State	:	UT
Zip	:	84405-7147
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1916 N 700 W STE 250
Second Line	:
City	:	LAYTON
State	:	UT
Zip	:	84041-5723
Country	:	US
Telephone Number	:	801-397-6160
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/16/2021
Last Update Date	:	06/11/2026

Similar Medicare Providers

1760593313 — WILLIAM F BRANDT M.D.
Practice Location Address:

1916 LAYTON HILLS PKWY 250
LAYTON, UT
84041-5723

Practice Phone: 801-479-0312
Practice Fax: 801-479-3364

1659482289 — DOUGLAS T SHEPHERD MD
Practice Location Address:

1916 LAYTON HILLS PKWY 250
LAYTON, UT
84041-5723

Practice Phone: 801-479-0312
Practice Fax: 801-479-3364

1083897177 — STEVE D MAYER FNP-C
Practice Location Address:

1916 N 700 W STE 250
LAYTON, UT
84041-5723

Practice Phone: 801-479-0312
Practice Fax: 801-479-3364

1669639985 — TYLER MARK NIXON DO
Practice Location Address:

1916 N 700 W STE 250
LAYTON, UT
84041-5723

Practice Phone: 801-479-0312
Practice Fax:

1932572260 — ROBYN ADELE VAUGHAN FNP-C
Practice Location Address:

1916 N 700 W STE 250
LAYTON, UT
84041-5723

Practice Phone: 801-479-0312
Practice Fax: 801-479-3364

1154829109 — KELSEY BIRD RD
Practice Location Address:

1916 N 700 W STE 250
LAYTON, UT
84041-5723

Practice Phone: 801-479-0312
Practice Fax:

Directions to “ LEXIE JO CALLOWAY JEX PA-C, RDN, CD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.