Individual provider Active NPI

Tricia Lynn Corcoran, L.AC., DIPL. OM

  • Acupuncturist
  • South Jordan, UT
National Provider Identifier
1295995413
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
11940180-1201 Issued in UT
Practice address
10382 S Jordan Gtwy Ste 150
South Jordan, UT 84095-4190
Phone
(415) 987-8147
Fax
(888) 972-4948
NPI assigned
Jun 11, 2008
Last updated
Oct 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 11940180-1201 UT Primary

Addresses

Primary practice location

10382 S Jordan Gtwy Ste 150
South Jordan, UT 84095-4190

Mailing address

11422 S Lake Run Rd
South Jordan, UT 84009-8716
Phone (415) 987-8147

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

LicenseStateTypeSpecialty
11940180-1201UTMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1295995413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11422 S LAKE RUN RD",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840098716",
            "telephone_number": "415-987-8147",
            "fax_number": "888-972-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10382 S JORDAN GTWY STE 150",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840954190",
            "telephone_number": "415-987-8147",
            "fax_number": "888-972-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORCORAN",
        "first_name": "TRICIA",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "L.AC., DIPL. OM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-11",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "UT",
            "license": "11940180-1201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.