Karen Bohn, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10953369-1206 Issued in UT

Practice address

4071 S 4000 W
West Valley City, UT 84120-4143

Phone

(801) 265-0103

NPI assigned

Oct 3, 2018

Last updated

Feb 19, 2024By 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 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in UT, ID2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kbohn113368@westdirect.optum.com
• Direct secure messaging: kbohn55499@direct.med.utah.edu

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.

• Jordan Ridge Family Medicine LLC

  • Family Medicine Physician
  • West Valley City, UT
  • NPI 1306275227
  Medicare reassignment NPD
• Physician Group of Utah Inc

  • Specialist
  • South Jordan, UT
  • NPI 1477676930
  Medicare reassignment NPD
• Jordan Ridge Family Medicine LLC

  dba Mobile Unit-Idaho

  • Mobile Radiology Clinic/Center
  • Boise, ID
  • NPI 1578277950
  Medicare reassignment NPD
• Jordan Ridge Family Medicine LLC

  • Family Medicine Physician
  • Salt Lake City, UT
  • NPI 1770509754
  Medicare reassignment NPD (past)
• University of Utah Adult Services

  • General Practice Physician
  • Salt Lake City, UT
  • NPI 1114321981
  Medicare reassignment
• University of Utah Adult Services

  dba University of Utah Hospital Radiology Department

  • Diagnostic Radiology Physician
  • Salt Lake City, UT
  • NPI 1598169419
  NPD
• University of Utah Adult Services

  dba Speech-Language-Hearing Clinic

  • Speech-Language Pathologist
  • Salt Lake City, UT
  • NPI 1982135984
  NPD

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1528533775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4071 S 4000 W",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841204143",
            "telephone_number": "801-265-0103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3590 W 9000 S Ste 120",
            "address_purpose": "LOCATION",
            "city": "West Jordan",
            "state": "UT",
            "postal_code": "840888858",
            "country_code": "US",
            "telephone_number": "801-208-1075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "322 E Front St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837027370",
            "country_code": "US",
            "telephone_number": "801-265-1003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOHN",
        "first_name": "KAREN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-03",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "10953369-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbohn55499@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chelet Bleyl, PA-C
• Filita Bloomfield
• Halie Boardman, CSW
• Kaitlin Bodily, CSW
• Robyn E Boehmer, PAC
• Edgar Booth, MD
• Joseph Borshanian, NP
• Talmage Lee Bourne, MD
• Charles Mikell Bova, M.D.
• Corinne Bowen

• Physician Assistant in West Valley City, UT
• Providers in West Valley City, UT by specialty
• Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.