Organization Active NPI

Luna Y Sol LLC

  • Exclusive Provider Organization
  • Salt Lake City, UT
National Provider Identifier
1235697608
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
LUNA Y SOL LLC
Practice address
150 S 600 E Ste 7C
Salt Lake City, UT 84102-1989
Phone
(801) 949-1993
NPI assigned
Mar 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Authorized official

Name
Debra Sylvester, LCSW
Title
Owner / Director
Phone
(801) 949-1993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

150 S 600 E Ste 7C
Salt Lake City, UT 84102-1989

Mailing address

1204 S McClelland St
Salt Lake City, UT 84105-1825
Phone (801) 949-1993

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551744000000",
    "number": "1235697608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 S MCCLELLAND ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841051825",
            "telephone_number": "801-949-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S 600 E STE 7C",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021989",
            "telephone_number": "801-949-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA Y SOL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A",
        "authorized_official_last_name": "SYLVESTER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "OWNER / DIRECTOR",
        "authorized_official_telephone_number": "801-949-1993",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "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 Mar 5, 2019; 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.