Individual provider Active NPI

Fernanda Leite Johnston

  • Psychiatric/Mental Health Nurse Practitioner
  • Lehi, UT
National Provider Identifier
1104133065
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
13423930-4405 Issued in UT
Practice address
2183 W Main St # A209
Lehi, UT 84043-6760
Phone
(385) 469-2120
NPI assigned
Sep 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9552826 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 870445 NV
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 32187 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 13423930-4405 UT Primary

Addresses

Primary practice location

2183 W Main St # A209
Lehi, UT 84043-6760

Mailing address

6497 Vanhoven Crest St
Las Vegas, NV 89166-2016
Phone (615) 668-4665

Other practice location 1

311 23rd Ave N
Nashville, TN 37203-1503
Phone (615) 340-5607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, NV, UT3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230206001365 TN Practitioner - Nurse Practitioner 0941672612 Reassigns benefits to 1 organization
I20231201002287 NV Practitioner - Nurse Practitioner 0941672612 Reassigns benefits to 2 organizations
I20250422002689 UT Practitioner - Nurse Practitioner 0941672612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smile Psychiatry and Behavioral 6 clinicians

Practice addresses (Care Compare)

2183 W Main St
Suite A209
Lehi, UT 84043-6760
Phone (801) 406-6256

Merit-based Incentive Payment System (MIPS)

Final score
91.16 of 100Reported as group
Quality
80.29
Promoting interoperability
95
Improvement activities
40
Cost
61.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9552826FLMDRegistered Nurse
13423930-4405UTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Angeles Medical Centers LLC Psychiatric/Mental Health CurrentSince Nov 17, 2023 Accepting new patients
Smile Psychiatry and Behavioral CurrentSince Apr 1, 2025 Accepting new patients
Next Level Psychiatry Arizona PLLC CurrentSince Mar 6, 2024 Accepting new patients
Nashville Brain Institute CurrentSince Jan 1, 2023 Accepting new patients
Behavioral Health Solutions LLC CurrentSince Mar 6, 2024 Accepting new patients
Lotus Medical Group LLC Past Accepting new patients

Locations

2200 Paseo Verde Pkwy
Ste 190
Henderson, NV 89052
Phone (702) 483-5061

840 N Decatur Blvd
Ste A
Las Vegas, NV 89107
Phone (702) 333-0110

7110 Crossroads Blvd
Ste 400
Brentwood, TN 37027
Phone (615) 208-9499

2410 Patterson St
Ste 210
Nashville, TN 37203
Phone (615) 340-4000

138 E 12300 S
Ste 328
Draper, UT 84020

138 E 12300 S
Unit 328
Draper, UT 84020
Phone (801) 406-6256

Interoperability endpoints

  • Direct secure messaging: fernanda.johnston.1@24259.direct.athenahealth.com

Organizations & group practices 6

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": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1104133065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6497 VANHOVEN CREST ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891662016",
            "telephone_number": "615-668-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2183 W MAIN ST # A209",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840436760",
            "telephone_number": "385-469-2120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 23rd Ave N",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372031503",
            "country_code": "US",
            "telephone_number": "615-340-5607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "FERNANDA",
        "middle_name": "LEITE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-13",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9552826",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "870445",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "32187",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "13423930-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

Verify at the official NPI Registry.