Briana Dawn Johnson, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

6523 Issued in AZ

Practice address

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

Phone

(801) 265-0103

NPI assigned

Oct 17, 2016

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bjohnson113886@westdirect.optum.com

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.

• Copperview Medical Center, LLC

  • Family Medicine Physician
  • South Jordan, UT
  • NPI 1316970924
  Medicare reassignment
• Jordan Ridge Family Medicine LLC

  • Family Medicine Physician
  • Salt Lake City, UT
  • NPI 1770509754
  Medicare reassignment
• Jordan Ridge Family Medicine LLC

  • Family Medicine Physician
  • West Valley City, UT
  • NPI 1306275227
  NPD
• Jordan Ridge Family Medicine LLC

  • Primary Care Clinic/Center
  • Sandy, UT
  • NPI 1962166710
  NPD

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1821549619",
    "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",
            "telephone_number": "702-954-7672"
        },
        {
            "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": "5965 W Wolf Creek Ct",
            "address_purpose": "LOCATION",
            "city": "West Valley City",
            "state": "UT",
            "postal_code": "841189201",
            "country_code": "US",
            "telephone_number": "801-787-8578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BRIANA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-17",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "6523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Landon Willis Jensen, PT, DPT
• Douglas B Jerman, PA-C
• Jovie Lou Jessop
• Annalise John, LCSW
• Ashley Johnson, PA-C
• Elaina Johnson
• Glen Eric Johnson, MD
• Leeann Johnson, FNP
• Matthew B Johnson, M.D.
• Tami Johnson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.