Active NPI
Luz Elena Reni, DNP
- Primary Care Nurse Practitioner
- Murray, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 8044184-4405
- Practice address
- 5063 S Cottonwood St
Murray, UT 84107-6766 - Phone
- (801) 507-1800
- Fax
- (801) 507-1825
- NPI assigned
- Aug 31, 2020
- 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 8044184-4405 | UT | Primary |
Addresses
Primary practice location
5063 S Cottonwood St
Murray, UT 84107-6766
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Other practice location 1
4745 S 3200 W
Taylorsville, UT 84129-2822
Phone (801) 964-6214
Other practice location 2
593 Millcreek Way
Bountiful, UT 84010-3920
Phone (801) 889-4051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Utah School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4745 S 3200
Taylorsville, UT 84129-2822
Phone (801) 964-6214
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8044184-4405 | UT | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Community Health Centers, Inc. | Family Medicine | Current | Accepting new patients |
| Community Health Centers, Inc. | Family Medicine | Current | Accepting new patients |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Community Health Centers, Inc. | Family Medicine | Past | Accepting new patients |
Locations
980 S 500 W
Ste 1
Brigham City, UT 84302
Phone (435) 723-6191
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
220 W 7200 S
Ste A
Midvale, UT 84047
Phone (801) 566-5494
5063 S Cottonwood St
Salt Lake City, UT 84107
Phone (801) 507-1800
1365 W 1000 N
Slc, UT 84116
Phone (801) 328-5750
1388 S Navajo St
Slc, UT 84104
Phone (801) 955-2360
4745 S 3200 W
Taylorsville, UT 84129
Phone (801) 964-6214
440 W 6th N
Tremonton, UT 84337
Phone (435) 257-7441
1455 W 2200 S
Ste 300
West Valley City, UT 84119
Phone (801) 231-6986
4535 S 5600 W
West Valley City, UT 84120
Phone (801) 676-4405
2621 S 3270 W
West Valley City, UT 84119
Phone (385) 261-2614
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ACFCAA
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- West Valley City, UT
- NPI 1952505117
Family Medicine
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
- Federally Qualified Health Center (FQHC)
- Midvale, UT
- NPI 1073611364
Family Medicine
-
- Maternal & Fetal Medicine Physician
- Salt Lake City, UT
- NPI 1053610196
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Federally Qualified Health Center (FQHC)
- Taylorsville, UT
- NPI 1801992953
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697760000000",
"number": "1235742016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27128",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270128",
"fax_number": "801-746-0420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5063 S COTTONWOOD ST",
"city": "MURRAY",
"state": "UT",
"postal_code": "841076766",
"telephone_number": "801-507-1800",
"fax_number": "801-507-1825"
}
],
"practiceLocations": [
{
"address_1": "4745 S 3200 W",
"address_purpose": "LOCATION",
"city": "Taylorsville",
"state": "UT",
"postal_code": "841292822",
"country_code": "US",
"telephone_number": "801-964-6214",
"fax_number": "801-746-0420",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "593 Millcreek Way",
"address_purpose": "LOCATION",
"city": "Bountiful",
"state": "UT",
"postal_code": "840103920",
"country_code": "US",
"telephone_number": "801-889-4051",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RENI",
"first_name": "LUZ",
"middle_name": "ELENA",
"name_prefix": "Ms.",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-31",
"last_updated": "2023-10-20",
"certification_date": "2023-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "UT",
"license": "8044184-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Oct 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.