Individual provider Active NPI

Sandra Lowe Johnson, APRN

  • Family Nurse Practitioner
  • Roy, UT
National Provider Identifier
1487422358
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7982504-8900 Issued in UT
Practice address
4254 S 2450 W
Roy, UT 84067-2053
Phone
(801) 388-8086
NPI assigned
Dec 19, 2023
Last updated
Dec 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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 7982504-4405 UT
Family Nurse Practitioner 363LF0000X 7982504-8900 UT Primary

Addresses

Primary practice location

4254 S 2450 W
Roy, UT 84067-2053

Mailing address

4254 S 2450 W
Roy, UT 84067-2053
Phone (801) 388-8086

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240229000134 UT Practitioner - Nurse Practitioner 5092150136 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

406 W S Jordan Pkwy
Suite 450
South Jordan, UT 84095-3946

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
7982504-8900UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Togo Acute and Post Acute Care CurrentSince Jan 7, 2024 Accepting new patients
Instamobile Care LLC CurrentSince Jan 7, 2024 Accepting new patients
Grab Healthcare, LLC CurrentSince Aug 1, 2024 Accepting new patients
Gadzoom Health LLC CurrentSince Apr 22, 2025 Accepting new patients

Locations

3401 N Thanksgiving Way
Ste 190
Lehi, UT 84048
Phone (385) 454-5027

1108 E South Union Ave
Sandy, UT 84047
Phone (469) 466-7420

406 W South Jordan Pkwy
Ste 450
South Jordan, UT 84095
Phone (801) 561-8398

Organizations & group practices 4

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": "1702944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1487422358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4254 S 2450 W",
            "city": "ROY",
            "state": "UT",
            "postal_code": "840672053",
            "telephone_number": "801-388-8086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4254 S 2450 W",
            "city": "ROY",
            "state": "UT",
            "postal_code": "840672053",
            "telephone_number": "801-388-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SANDRA",
        "middle_name": "LOWE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "7982504-4405",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "7982504-8900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roy, UT

Sources for this page

Verify at the official NPI Registry.