Active NPI
Ju Hyeon Lee, L.AC
- Acupuncturist
- Salt Lake City, UT
National Provider Identifier
1255889440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 14190328-1201
- Practice address
- 1174 E Graystone Way Ste 7
Salt Lake City, UT 84106-2671 - Phone
- (714) 403-5994
- NPI assigned
- Sep 15, 2016
- 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 | 14190328-1201 | UT | Primary |
Addresses
Primary practice location
1174 E Graystone Way Ste 7
Salt Lake City, UT 84106-2671
Mailing address
1734 E 2100 S
Salt Lake City, UT 84106-4142
Phone (714) 403-5994
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC16984 | Other | CA | ACUPUNCTURIST |
| 14190328-1201 | Other | UT | ACUPUNCTURIST |
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 |
|---|---|---|---|
| 14190328-1201 | UT | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elim Acupuncture Clinic LLC | Acupuncturist | Current | Accepting new patients |
Locations
1174 E Graystone Way
Ste 7
Salt Lake City, UT 84106
Phone (714) 403-5994
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Acupuncturist
- Salt Lake City, UT
- NPI 1356292957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770768000000",
"number": "1255889440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1734 E 2100 S",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841064142",
"telephone_number": "714-403-5994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1174 E GRAYSTONE WAY STE 7",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841062671",
"telephone_number": "714-403-5994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JU HYEON",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-15",
"last_updated": "2026-02-11",
"certification_date": "2026-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "UT",
"license": "14190328-1201",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACUPUNCTURIST",
"identifier": "AC16984",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACUPUNCTURIST",
"identifier": "14190328-1201",
"state": "UT"
}
],
"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 Feb 11, 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.