Nicole Johnson

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

7518925-4405 Issued in UT

Practice address

1173 S 250 W Ste 208
Saint George, UT 84770-6747

Phone

(435) 688-1111

Fax

(435) 688-8488

NPI assigned

Dec 4, 2012

Last updated

Sep 26, 2025By 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 3

Addresses

Other names 1

• Nicole Blackburn Former name

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

Specialty

Nurse Practitioner

Education

Vanderbilt University School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Couples and FamiliesGroup PAC ID 8224369897, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Center for Couples & Families

  dba Ascend Counseling and Wellness

  • Marriage & Family Therapist
  • St George, UT
  • NPI 1306364302
  Medicare reassignment Care Compare group NPD
• Center for Couples & Families

  dba A Southern Utah Counseling Experience

  • Marriage & Family Therapist
  • St George, UT
  • NPI 1982898094
  NPD

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1336484286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1173 S 250 W STE 208",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847706747",
            "telephone_number": "435-688-1111",
            "fax_number": "435-688-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1173 S 250 W STE 208",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847706747",
            "telephone_number": "435-688-1111",
            "fax_number": "435-688-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-04",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "7518925-8900",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "7518925-4405",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "F0912023",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "BLACKBURN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Luke Johnson
• Maridee Johnson
• Markus Johnson
• Michaela Karrin Johnson, APRN, AGACNP-BC
• Michelle Deon Johnson
• Rhett B Johnson
• Richard J Johnson, PT
• Rylee Johnson, RN
• Savannah June Johnson
• Sydney Elisabeth Johnson, DPT

• Family Nurse Practitioner in St George, UT
• Providers in St George, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.

Verify at the official NPI Registry.