Active NPI
Sarah J Johnson, F.N.P.
- Family Nurse Practitioner
- Tooele, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 218332-4405
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61707 | Other | UT | PEHP |
| QM0000049663 | Other | UT | ALTIUS |
| 02183324400001 | Other | UT | BLUE CROSS |
| 17-00212 | Other | UT | UNITED 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
Enrollment records 1
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
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.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 218332-4405 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Group of Utah Inc | Current | Accepting new patients | |
| General Surgery at Northpointe, LLC | Current | Accepting new patients | |
| Revere Health PC | Past | Accepting new patients | |
| Sarah Cormier FNP PC | Family | Past | 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.
-
- Surgery Physician
- Tooele, UT
- NPI 1164782496
-
- Specialist
- South Jordan, UT
- NPI 1477676930
-
- Multi-Specialty Clinic/Center
- Spanish Fork, UT
- NPI 1851142285
-
- Family Nurse Practitioner
- Tooele, UT
- NPI 1598947772
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.