Active NPI
Lori Fisk
- Acupuncturist
- Jensen, UT
National Provider Identifier
1053256347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 4972140-1201
- Practice address
- 7633 E Brush Creek Rd
Jensen, UT 84035-7703 - Phone
- (435) 828-5674
- NPI assigned
- Apr 22, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 4972140-1201 | UT | Primary |
Addresses
Primary practice location
7633 E Brush Creek Rd
Jensen, UT 84035-7703
Mailing address
PO Box 48
Jensen, UT 84035-0048
Phone (435) 828-5674
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4972140-1201 | UT | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776816000000",
"number": "1053256347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 48",
"city": "JENSEN",
"state": "UT",
"postal_code": "840350048",
"telephone_number": "435-828-5674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7633 E BRUSH CREEK RD",
"city": "JENSEN",
"state": "UT",
"postal_code": "840357703",
"telephone_number": "435-828-5674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISK",
"first_name": "LORI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-22",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "UT",
"license": "4972140-1201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jensen, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.