Active NPI
Ronda H Lucey, N.P.
- Nurse Practitioner
- Salt Lake City, UT
National Provider Identifier
1306902101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 221188-4405
- Practice address
- 1434 E 4500 S
Suite 102
Salt Lake City, UT 84117-4250 - Phone
- (801) 272-6100
- Fax
- (801) 272-6101
- NPI assigned
- Dec 28, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 221188-4405 | UT | Primary |
Addresses
Primary practice location
1434 E 4500 S
Suite 102
Salt Lake City, UT 84117-4250
Mailing address
8661 Alta Cove Dr
Sandy, UT 84093-1688
Phone (801) 944-3977
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 221188-4405 | UT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patricia Bearnson MD PC | Past | Accepting new patients |
Interoperability endpoints
- ronda.lucey.1@14940.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Salt Lake City, UT
- NPI 1194969493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306902101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8661 ALTA COVE DR",
"city": "SANDY",
"state": "UT",
"postal_code": "840931688",
"telephone_number": "801-944-3977",
"fax_number": "801-272-8300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1434 E 4500 S",
"address_2": "SUITE 102",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841174250",
"telephone_number": "801-272-6100",
"fax_number": "801-272-6101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCEY",
"first_name": "RONDA",
"middle_name": "H",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "UT",
"license": "221188-4405",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.