Active NPI
Bluezone Medical LLC
- Family Nurse Practitioner
- Lehi, UT
National Provider Identifier
1043090780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- BLUEZONE MEDICAL LLC
- Practice address
- 61 W 3200 N Ste C15
Lehi, UT 84043-2595 - Phone
- (385) 484-8645
- Fax
- (888) 364-9809
- NPI assigned
- Oct 2, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Andrew James France
- Title
- Co-Owner/Ceo
- Phone
- (407) 701-7471
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
61 W 3200 N Ste C15
Lehi, UT 84043-2595
Mailing address
2403 N Holbrook Way
Lehi, UT 84043-6103
Phone (321) 695-8654
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831706878 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
61 W 3200 N
Ste C15
Lehi, UT 84043
Phone (321) 695-8654
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696204800000",
"number": "1043090780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2403 N HOLBROOK WAY",
"city": "LEHI",
"state": "UT",
"postal_code": "840436103",
"telephone_number": "321-695-8654",
"fax_number": "888-364-9809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 W 3200 N STE C15",
"city": "LEHI",
"state": "UT",
"postal_code": "840432595",
"telephone_number": "385-484-8645",
"fax_number": "888-364-9809"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUEZONE MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-02",
"last_updated": "2023-10-02",
"certification_date": "2023-09-30",
"status": "A",
"authorized_official_last_name": "FRANCE",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "CO-OWNER/CEO",
"authorized_official_telephone_number": "407-701-7471",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1831706878",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lehi, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.