Active NPI
Loretta Mary Francis, MASTER ESTHETICIAN
- Other Technician
- Murray, UT
National Provider Identifier
1073875993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- 6777731-1109
- Practice address
- 6095 S Fashion Blvd
Suite 270
Murray, UT 84107-7397 - Phone
- (801) 213-8351
- NPI assigned
- Jun 15, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Other Technician | 247200000X | 6777731-1109 | UT | Primary |
Addresses
Primary practice location
6095 S Fashion Blvd
Suite 270
Murray, UT 84107-7397
Mailing address
3833 Sage Vista LN
Cedar Hills, UT 84062-8571
Phone (801) 636-6166
Other names 1
- Loretta Mary King
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 |
|---|---|---|---|
| 6777731-1109 | UT | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339718400000",
"number": "1073875993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3833 SAGE VISTA LN",
"city": "CEDAR HILLS",
"state": "UT",
"postal_code": "840628571",
"telephone_number": "801-636-6166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6095 S FASHION BLVD",
"address_2": "SUITE 270",
"city": "MURRAY",
"state": "UT",
"postal_code": "841077397",
"telephone_number": "801-213-8351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANCIS",
"first_name": "LORETTA",
"middle_name": "MARY",
"name_prefix": "Mrs.",
"credential": "MASTER ESTHETICIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-15",
"last_updated": "2012-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "UT",
"license": "6777731-1109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LORETTA",
"last_name": "KING",
"middle_name": "MARY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.