Individual provider Active NPI

Monserrat Alexis Bohmier, FNP

  • Family Nurse Practitioner
  • West Jordan, UT
National Provider Identifier
1336976414
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
13145007-8900 Issued in UT
Practice address
8860 S Redwood Rd Unit 108
West Jordan, UT 84088-9391
Phone
(801) 980-0475
NPI assigned
Sep 13, 2024
Last updated
Aug 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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 13145007-8900 UT Primary

Addresses

Primary practice location

8860 S Redwood Rd Unit 108
West Jordan, UT 84088-9391

Mailing address

797 E Spruce Mesa Way
Sandy, UT 84094-5508
Phone (517) 292-9318

Other names 1

  • Monserrat Alexis Miranda Miranda Former name

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
I20251028000767 UT Practitioner - Nurse Practitioner 3274022553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novu Wellness and Aesthetics LLCGroup PAC ID 1456701820, 3 clinicians

Practice addresses (Care Compare)

12011 S 700
Draper, UT 84020-9746
Phone (801) 803-8560

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13145007-8900UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Novu Wellness and Aesthetics LLC Family CurrentSince Oct 13, 2025 Accepting new patients

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1336976414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "797 E SPRUCE MESA WAY",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840945508",
            "telephone_number": "517-292-9318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8860 S REDWOOD RD UNIT 108",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889391",
            "telephone_number": "801-980-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHMIER",
        "first_name": "MONSERRAT",
        "middle_name": "ALEXIS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-13",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "13145007-8900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONSERRAT",
            "last_name": "MIRANDA MIRANDA",
            "middle_name": "ALEXIS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Jordan, UT

Sources for this page

Verify at the official NPI Registry.