Individual provider Active NPI

Sarah J Johnson, F.N.P.

  • Family Nurse Practitioner
  • Tooele, UT
National Provider Identifier
1811917271
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
218332-4405 Issued in UT
Practice address
2376 N 400 E Ste 204
Northpointe Medical Park
Tooele, UT 84074-3413
Phone
(435) 882-1433
Fax
(435) 882-1431
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2013

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 218332-4405 UT Primary

Addresses

Primary practice location

2376 N 400 E Ste 204
Northpointe Medical Park
Tooele, UT 84074-3413

Mailing address

2376 N 400 E Ste 204
Northpointe Medical Park
Tooele, UT 84074-3413
Phone (435) 882-1433

Other identifiers 4

IdentifierTypeStateIssuer
61707OtherUTPEHP
QM0000049663OtherUTALTIUS
02183324400001OtherUTBLUE CROSS
17-00212OtherUTUNITED HEALTHCARE

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
I20050209000805 UT Practitioner - Nurse Practitioner 3870544794 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
General Surgery at Northpointe, LLCGroup PAC ID 0648421990, 2 clinicians

Practice addresses (Care Compare)

2376 N 400
Suite 205
Tooele, UT 84074-3413
Phone (435) 882-8111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
218332-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Group of Utah Inc CurrentSince Aug 1, 2017 Accepting new patients
General Surgery at Northpointe, LLC CurrentSince Mar 25, 2019 Accepting new patients
Revere Health PC PastSince Apr 4, 2016 Accepting new patients
Sarah Cormier FNP PC Family PastSince Oct 1, 2004 Accepting new patients

Locations

82 S 1100 E
Ste 103
Salt Lake Cty, UT 84102
Phone (801) 505-5370

2530 W 4700 S
Ste B8
Taylorsville, UT 84129
Phone (801) 967-5866

2376 N 400 E
Bldg STEA205
Tooele, UT 84074

2326 N 400 E
Bldg C
Tooele, UT 84074

2376 N 400 E
Ste 204
Tooele, UT 84074
Phone (435) 882-0711

2376 N 400 E
Ste 205
Tooele, UT 84074
Phone (435) 882-8111

2376 N 400 E
Tooele, UT 84074
Phone (435) 843-8336

3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810

3336 S Pioneer Pkwy
Ste 201
West Valley City, UT 84120
Phone (801) 313-0555

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359504000000",
    "number": "1811917271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2376 N 400 E STE 204",
            "address_2": "NORTHPOINTE MEDICAL PARK",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840743413",
            "telephone_number": "435-882-1433",
            "fax_number": "435-882-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2376 N 400 E STE 204",
            "address_2": "NORTHPOINTE MEDICAL PARK",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840743413",
            "telephone_number": "435-882-1433",
            "fax_number": "435-882-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SARAH",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2013-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "218332-4405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP",
            "identifier": "61707",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS",
            "identifier": "QM0000049663",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "02183324400001",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "17-00212",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tooele, UT

Sources for this page

Verify at the official NPI Registry.