Active NPI
Jaycee Lyn Fausett
- Nurse Practitioner
- Orem, UT
National Provider Identifier
1033990908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 10514537-4405
- Practice address
- 153 N 400 W
St B-6
Orem, UT 84057 - Phone
- (801) 921-2260
- NPI assigned
- Oct 9, 2023
- Last updated
- Oct 9, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 10514537-4405 | UT | Primary |
Addresses
Primary practice location
153 N 400 W
St B-6
Orem, UT 84057
Mailing address
153 N 400 W
St B-6
Orem, UT 84057
Phone (801) 616-0066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A&C Johnston LLC | Current | Accepting new patients |
Locations
153 N 400 W
Orem, UT 84057
Phone (801) 921-2260
153 N 400 W
#B6
Orem, UT 84057
Phone (801) 921-2260
895 W Center St
Orem, UT 84057
Phone (801) 221-1220
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696809600000",
"number": "1033990908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 N 400 W",
"address_2": "ST B-6",
"city": "OREM",
"state": "UT",
"postal_code": "84057",
"telephone_number": "801-616-0066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 N 400 W",
"address_2": "ST B-6",
"city": "OREM",
"state": "UT",
"postal_code": "84057",
"telephone_number": "801-921-2260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAUSETT",
"first_name": "JAYCEE",
"middle_name": "LYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-09",
"last_updated": "2023-10-09",
"certification_date": "2023-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "UT",
"license": "10514537-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.