Nec Royal Beauty Med Spa LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

NEC ROYAL BEAUTY MED SPA LLC

Doing business as

ROYAL BEAUTY AESTHETICS

Practice address

12401 S 450 E Unit A2
Draper, UT 84020-8199

Phone

(801) 405-9100

NPI assigned

Jun 20, 2025

Organization subpart

No

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

Authorized official

Name

Nancy Jensen

Title

Owner

Phone

(915) 222-5720

Specialties & licenses 1

Addresses

Other names 1

• ROYAL BEAUTY AESTHETICS Doing business as

Locations

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

{
    "created_epoch": "1750377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1891682050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12401 S 450 E UNIT A2",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208199",
            "telephone_number": "801-405-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 S 450 E UNIT A2",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208199",
            "telephone_number": "801-405-9100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5692 S 900 E Ste 9",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "UT",
            "postal_code": "841211156",
            "country_code": "US",
            "telephone_number": "801-405-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEC ROYAL BEAUTY MED SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-20",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-222-5720"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROYAL BEAUTY AESTHETICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Nurse Practitioner in Draper, UT
• Providers in Draper, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.