Individual provider Active NPI

Tia Leigh Johnson, APRN, APRN-CNP, FNP,

  • Nurse Practitioner
  • Orem, UT
National Provider Identifier
1841675576
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11663939-4405 Issued in UT
Practice address
1433 N 1200 W
Orem, UT 84057-2449
Phone
(801) 655-5450
Fax
(385) 225-9327
NPI assigned
Jul 23, 2015
Last updated
Apr 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11663939-4405 UT Primary
Nurse Practitioner 363L00000X 76975 ID
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X CS72101 ID

Addresses

Primary practice location

1433 N 1200 W
Orem, UT 84057-2449

Mailing address

1433 N 1200 W
Orem, UT 84057-2449
Phone (801) 655-5450

Other names 1

  • Tia Johnson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, UT, CO, ID4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20150908003135 AZ Practitioner - Nurse Practitioner 9436465382 Reassigns benefits to 4 organizations
I20221017003299 UT Practitioner - Nurse Practitioner 9436465382 Reassigns benefits to 4 organizations
I20241107004273 CO Practitioner - Nurse Practitioner 9436465382 Reassigns benefits to 1 organization
I20260511003633 ID Practitioner - Nurse Practitioner 9436465382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1469 N 1200
Orem, UT 84057-2449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CS72101IDMDAddiction (Substance Use Disorder) Registered Nurse
76975IDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Good Health Medical, PLLC CurrentSince Jun 15, 2017 Accepting new patients
Good Health Medical, PLLC CurrentSince Jun 15, 2017 Accepting new patients
Meadowbrook Counseling of Idaho, LLC CurrentSince Mar 31, 2026 Accepting new patients
Honorhealth Medical Group, LLC Current Accepting new patients
Honorhealth Medical Group, LLC Current Accepting new patients
Optum Medical Group PA CurrentSince Sep 1, 2022 Accepting new patients
Good Health Medical, PLLC Current Accepting new patients
Meadowbrook Counseling of Utah LLC CurrentSince Mar 31, 2026 Accepting new patients
Honorhealth Medical Group, LLC CurrentSince Jul 1, 2016 Accepting new patients
Jordan Ridge Family Medicine LLC Current Accepting new patients
District Medical Group, Inc Current Accepting new patients
Honorhealth Ambulatory CurrentSince Jul 1, 2016 Accepting new patients
District Medical Group, Inc CurrentSince Mar 22, 2017 Accepting new patients
Squaw Peak Family Physicians PC Current Accepting new patients
Honorhealth Medical Group, LLC CurrentSince Jul 1, 2016 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Sep 20, 2024 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Sep 29, 2024 Accepting new patients
Honorhealth Ambulatory CurrentSince Jul 1, 2016 Accepting new patients
Anew Therapy LLC Nurse Practitioner CurrentSince Nov 9, 2024 Accepting new patients
Jordan Ridge Family Medicine LLC CurrentSince Sep 1, 2022 Accepting new patients
Lankford Holdings Monogram, Inc PastSince Jul 20, 2015 Accepting new patients

Locations

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

4712 E Dynamite Blvd
Cave Creek, AZ 85331
Phone (480) 342-8711

2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246

428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 632-7400

6220 W Bell Rd
Ste 100
Glendale, AZ 85308
Phone (602) 547-7200

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

1035 N Ellsworth Rd
Ste 108
Mesa, AZ 85207
Phone (480) 305-2888

1610 W Glendale Ave
#128
Phoenix, AZ 85021
Phone (623) 780-1999

18404 N Tatum Blvd
Ste 101
Phoenix, AZ 85032
Phone (602) 992-1900

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

4131 N 24th St
Ste B102
Phoenix, AZ 85016
Phone (602) 955-6632

9327 N 3rd St
Ste 100
Phoenix, AZ 85020
Phone (602) 371-3100

287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 667-8282

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

7700 E Arapahoe Rd
Ste 220
Centennial, CO 80112
Phone (515) 513-4913

7900 E Union Ave
Ste 1100
Denver, CO 80237
Phone (469) 466-7420

3345 E Chasewood Dr
Ammon, ID 83406

661 S Woodruff Ave
Idaho Falls, ID 83401
Phone (208) 206-1588

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

2146 N Main St
Ste 514
Layton, UT 84041

1433 N 1200 W
Orem, UT 84057
Phone (801) 210-1432

7455 S Union Park Ave
Ste B
Sandy, UT 84047
Phone (801) 280-2690

9980 S 300 W
Ste 200
Sandy, UT 84070
Phone (801) 285-7403

4071 S 4000 W
West Valley City, UT 84120
Phone (801) 265-0103

Interoperability endpoints

  • Direct secure messaging: tjohnson116542@westdirect.optum.com

Organizations & group practices 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1841675576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 N 1200 W",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840572449",
            "telephone_number": "801-655-5450",
            "fax_number": "385-225-9327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 N 1200 W",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840572449",
            "telephone_number": "801-655-5450",
            "fax_number": "385-225-9327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TIA",
        "middle_name": "LEIGH",
        "credential": "APRN, APRN-CNP, FNP,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-23",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "11663939-4405",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "76975",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "ID",
            "license": "CS72101",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIA",
            "last_name": "JOHNSON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orem, UT

Sources for this page

Verify at the official NPI Registry.