Individual provider Active NPI

Rebekah Dru Johnson, DNP, FNP, RN

  • Family Nurse Practitioner
  • Bountiful, UT
National Provider Identifier
1265013643
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
313830-4405 Issued in UT
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260323000917 UT Practitioner - Nurse Practitioner 7810471448 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
1265013643UTMDFamily Nurse Practitioner
313830-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Feller Behavioral Health Services CurrentSince Apr 27, 2026 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.

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

Verify at the official NPI Registry.