Teri Junko Demille, PA-C, MPH, MSHS

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10071253-1206 Issued in UT

Practice address

2084 N Robins Dr Ste a
Layton, UT 84041-1118

Phone

(801) 773-8644

NPI assigned

May 16, 2017

Last updated

Jun 12, 2020By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Families First Pediatrics LLC

  • Pediatric Adolescent Medicine Physician
  • South Jordan, UT
  • NPI 1194863589
  NPD (past)

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1750818241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2084 N ROBINS DR STE A",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411118",
            "telephone_number": "801-773-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2084 N ROBINS DR STE A",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411118",
            "telephone_number": "801-773-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMILLE",
        "first_name": "TERI",
        "middle_name": "JUNKO",
        "credential": "PA-C, MPH, MSHS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-16",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110005486",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "10071253-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Dellangelo
• Samuel J Delong, OTD, OTRL
• Ashley Demann
• Emilie Demeyer
• Adam Michael Demille
• Dallin L Demordaunt, MD
• Don William Denning, DDS
• Dennis L Dedecker DDS PC
• Taylor Denoo
• Kourtney Denovellis

• Physician Assistant in Layton, UT
• Providers in Layton, UT by specialty
• Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.