Jana R. Boehler, C-PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

87997143-1206 Issued in UT

Practice address

468 S Main St
Spanish Fork, UT 84660-2410

Phone

(801) 504-6117

Fax

(801) 504-6328

NPI assigned

Jan 17, 2012

Last updated

May 1, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Mountain Springs Family Medicine, PLLC

  dba Health Rejuvenation Institute

  • Family Medicine Physician
  • Spanish Fork, UT
  • NPI 1578707352
  NPD (past)

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

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398902400000",
    "number": "1104197524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 S MAIN ST",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846602410",
            "telephone_number": "801-504-6117",
            "fax_number": "801-504-6328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 S MAIN ST",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846602410",
            "telephone_number": "801-504-6117",
            "fax_number": "801-504-6328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEHLER",
        "first_name": "JANA",
        "middle_name": "R.",
        "name_prefix": "Miss",
        "credential": "C-PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-17",
        "last_updated": "2014-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "87997143-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Blakesly
• Melissa Sue Blakey, A.P.R.N., FNP-C
• Richelle Blanchard, FNP
• Taylor Bleyl
• Miriam Adei Boadi
• Heather Boogert
• Brad Bowen
• Candace Bown
• Ricky Travis Brandon
• Michael Brannin

• Medical Physician Assistant in Spanish Fork, UT
• Providers in Spanish Fork, UT by specialty
• Medical Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; 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.