Individual provider Active NPI

Rebecca N. Johnson, N.P.

  • Family Nurse Practitioner
  • Lehi, UT
National Provider Identifier
1326107764
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
273358 Issued in UT
Practice address
3300 Running Creek Way
BLDG B
Lehi, UT 84043-5563
Phone
(801) 766-4214
Fax
(801) 407-3052
NPI assigned
Dec 8, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 273358 UT Primary

Addresses

Primary practice location

3300 Running Creek Way
BLDG B
Lehi, UT 84043-5563

Mailing address

3300 Running Creek Way
BLDG B
Lehi, UT 84043-5563
Phone (801) 766-4214

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
I20200310001776 UT Practitioner - Nurse Practitioner 4789012527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jordan River Women's Health, P.C.Group PAC ID 4082526736, 4 clinicians

Practice addresses (Care Compare)

3584 W 9000
Suite 206
West Jordan, UT 84088-5711
Phone 8015612227307

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
273358UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan River Women's Health, P.C. CurrentSince Apr 13, 2020 Accepting new patients
Cottonwood OB-GYN Past Accepting new patients

Locations

3584 W 9000 S
Ste 206
West Jordan, UT 84088
Phone (801) 561-2227

Organizations & group practices 2

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326107764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 RUNNING CREEK WAY",
            "address_2": "BLDG B",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840435563",
            "telephone_number": "801-766-4214",
            "fax_number": "801-407-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 RUNNING CREEK WAY",
            "address_2": "BLDG B",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840435563",
            "telephone_number": "801-766-4214",
            "fax_number": "801-407-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "REBECCA",
        "middle_name": "N.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "273358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

Verify at the official NPI Registry.