Individual provider Active NPI

Traci B Olsen-Lujan, APRN/FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Salt Lake City, UT
National Provider Identifier
1326519018
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
373543-4405 Issued in UT
Practice address
4376 S 700 E Ste 200
Salt Lake City, UT 84107-3077
Phone
(385) 272-4292
Fax
(866) 855-3582
NPI assigned
Dec 6, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 373543-4405 UT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 373543-4405 UT Primary

Addresses

Primary practice location

4376 S 700 E Ste 200
Salt Lake City, UT 84107-3077

Mailing address

691 E Wyandotte Ave
Sandy, UT 84070-3564
Phone (801) 448-4654

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lotus Center Inc CurrentSince May 18, 2025 Accepting new patients

Locations

4376 S 700 E
Ste 200
Salt Lake City, UT 84107
Phone (385) 272-4292

Interoperability endpoints

  • Direct secure messaging: traci.lujan@202362935902212.direct.elationemr.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.

NPI Registry JSON

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1326519018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "691 E WYANDOTTE AVE",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840703564",
            "telephone_number": "801-448-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4376 S 700 E STE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841073077",
            "telephone_number": "385-272-4292",
            "fax_number": "866-855-3582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN-LUJAN",
        "first_name": "TRACI",
        "middle_name": "B",
        "credential": "APRN/FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-06",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "UT",
            "license": "373543-4405",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "373543-4405",
            "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 Oct 21, 2021; 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.