Serenity Dawn Lucio, TRT

Primary specialty

Recreational Therapist AssistantTaxonomy code 226000000X

License

10464698-4003 Issued in UT

Practice address

151 E Center St
Spanish Fork, UT 84660-2161

Phone

(801) 798-6220

NPI assigned

Jun 12, 2024

Last updated

Jun 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1861234502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 E CENTER ST",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846602161",
            "telephone_number": "801-798-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 E CENTER ST",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846602161",
            "telephone_number": "801-798-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCIO",
        "first_name": "SERENITY",
        "middle_name": "DAWN",
        "credential": "TRT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "226000000X",
            "taxonomy_group": "",
            "desc": "Recreational Therapist Assistant",
            "state": "UT",
            "license": "10464698-4003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desmond Cornell Lomax, CMHC
• Sheila Lor
• Breeana Loveland
• Isabell Lucero
• Nissa Breann Lucero, NP-C
• David E Ludlow, M.D.
• Randy Roy Lundell, D.O.
• Scott Duane Lynde
• Carter S Lytle, M.D.
• Maceys Inc (Maceys Pharmacy #10)

• Recreational Therapist Assistant in Spanish Fork, UT
• Providers in Spanish Fork, UT by specialty
• Recreational Therapist Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.