NPIMap

Individual provider Active NPI

Amanda C Lucero, ND

  • Naturopath
  • Salt Lake City, UT
National Provider Identifier
1982007134
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
9151051-7100 Issued in UT
Practice address
444 S 900 E Suite 102
Salt Lake City, UT 84102-3570
Phone
(801) 997-1906
Fax
(888) 878-0487
NPI assigned
Oct 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 9151051-7100 UT Primary

Addresses

Primary practice location

444 S 900 E Suite 102
Salt Lake City, UT 84102-3570

Mailing address

444 S 900 E Suite 102
Salt Lake City, UT 84102-3570
Phone (801) 997-1906

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

State licenses

LicenseStateTypeSpecialty
9151051-7100UTMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Aestheetic Institute& Laser Center Past Accepting new patients
Gateway Aesthetic Institute & Laser Center Past Accepting new patients

Organizations & group practices 2

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": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1982007134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 S 900 E SUITE 102",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841023570",
            "telephone_number": "801-997-1906",
            "fax_number": "888-878-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 S 900 E SUITE 102",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841023570",
            "telephone_number": "801-997-1906",
            "fax_number": "888-878-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCERO",
        "first_name": "AMANDA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-02",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "UT",
            "license": "9151051-7100",
            "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 Nov 8, 2022; 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.