Active NPI
Rebekah Dru Johnson, DNP, FNP, RN
- Family Nurse Practitioner
- Bountiful, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 313830-4405
- Practice address
- 270 S Main St
Bountiful, UT 84010-6257 - Phone
- (801) 683-9340
- Fax
- (801) 992-1218
- NPI assigned
- Apr 18, 2021
- Last updated
- Aug 13, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1265013643 | UT | |
| Family Nurse Practitioner | 363LF0000X | 313830-4405 | UT | Primary |
Addresses
Primary practice location
270 S Main St
Bountiful, UT 84010-6257
Mailing address
1546 Vineyard Dr
Bountiful, UT 84010-1357
Phone (801) 660-5645
Other practice location 1
1546 Vineyard Dr
Bountiful, UT 84010-1357
Phone (801) 660-5645
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
270 S Main St
Suite 104
Bountiful, UT 84010-6249
938 W 1200
Wood Cross, UT 84087-2007
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1265013643 | UT | MD | Family Nurse Practitioner |
| 313830-4405 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Feller Behavioral Health Services | Current | Accepting new patients |
Locations
270 S Main St
Ste 104
Bountiful, UT 84010
Phone (801) 683-9340
1401 N 1075 W
Ste 240
Farmington, UT 84025
Phone (801) 613-8178
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.
-
- Clinical Social Worker
- Bountiful, UT
- NPI 1295177038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755043200000",
"number": "1265013643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1546 VINEYARD DR",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840101357",
"telephone_number": "801-660-5645",
"fax_number": "801-992-1218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 S MAIN ST",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840106257",
"telephone_number": "801-683-9340",
"fax_number": "801-992-1218"
}
],
"practiceLocations": [
{
"address_1": "1546 Vineyard Dr",
"address_purpose": "LOCATION",
"city": "Bountiful",
"state": "UT",
"postal_code": "840101357",
"country_code": "US",
"telephone_number": "801-660-5645",
"fax_number": "385-243-3050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "REBEKAH",
"middle_name": "DRU",
"credential": "DNP, FNP, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-18",
"last_updated": "2025-08-13",
"certification_date": "2025-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "1265013643",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "313830-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bountiful, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.