Individual provider Active NPI

Karena Regina Luttmer, MSOM, L.AC

  • Acupuncturist
  • Salt Lake City, UT
National Provider Identifier
1063959831
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
8374247-1201 Issued in UT
Practice address
1592 S 1100 E
Salt Lake City, UT 84105-2454
Phone
(801) 243-0503
NPI assigned
Jan 31, 2017
Last updated
Jan 31, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 8374247-1201 UT Primary

Addresses

Primary practice location

1592 S 1100 E
Salt Lake City, UT 84105-2454

Mailing address

8350 Pointe Rd Apt I23
Park City, UT 84098-4677
Phone (801) 243-0503

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)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1063959831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8350 POINTE RD APT I23",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840984677",
            "telephone_number": "801-243-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1592 S 1100 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052454",
            "telephone_number": "801-243-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTTMER",
        "first_name": "KARENA",
        "middle_name": "REGINA",
        "credential": "MSOM, L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-31",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "UT",
            "license": "8374247-1201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.