Organization Active NPI

Bluezone Medical LLC

  • Family Nurse Practitioner
  • Lehi, UT
National Provider Identifier
1043090780
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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

Updated by the provider on Oct 2, 2023

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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1831706878MedicaidFL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.