Individual provider Active NPI

Luna Abril Rodriguez

  • Social Worker
  • Sandy, UT
National Provider Identifier
1710550736
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
1253 E Forest Ridge Rd
Sandy, UT 84094-5750
Phone
(425) 209-8653
NPI assigned
Jul 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

1253 E Forest Ridge Rd
Sandy, UT 84094-5750

Mailing address

1253 E Forest Ridge Rd
Sandy, UT 84094-5750
Phone (425) 209-8653

Other identifiers 1

IdentifierTypeStateIssuer
05MedicaidUT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address luna@projectconnection.co

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

NPI Registry JSON

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1710550736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1253 E FOREST RIDGE RD",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840945750",
            "telephone_number": "425-209-8653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 E FOREST RIDGE RD",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840945750",
            "telephone_number": "425-209-8653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "LUNA",
        "middle_name": "ABRIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "luna@projectconnection.co",
            "affiliation": "N",
            "address_1": "1253 E Forest Ridge Rd",
            "city": "Sandy",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840945750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.