Individual provider Active NPI

Julia Christensen Justis, PA-C

  • Physician Assistant
  • Hyde Park, UT
National Provider Identifier
1992194732
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9701074-1206 Issued in UT
Practice address
4088 N Highway 91
Hyde Park, UT 84318-4125
Phone
(801) 563-4900
NPI assigned
Jan 16, 2015
Last updated
Jul 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9701074-1206 UT Primary

Addresses

Primary practice location

4088 N Highway 91
Hyde Park, UT 84318-4125

Mailing address

4088 N Highway 91
Hyde Park, UT 84318-4125
Phone (801) 563-4900

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
I20161017000514 UT Practitioner - Physician Assistant 0345554432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9701074-1206UTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Oct 1, 2016 Accepting new patients
Ihc Health Services Inc CurrentSince Oct 1, 2016 Accepting new patients
Boston University General Surgical Associates, Inc. Past Accepting new patients
Ihc Health Services Inc Past Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

4088 N Highway 91
Hyde Park, UT 84318
Phone (435) 563-4888

435 N Main St
Kaysville, UT 84037
Phone (801) 498-6000

2075 University Park Blvd
Layton, UT 84041
Phone (801) 367-2775

4401 Harrison Blvd
Ste 1885
Ogden, UT 84403
Phone (801) 387-4870

975 Chambers St
South Ogden, UT 84403
Phone (801) 387-6200

935 N 1000 W
Tremonton, UT 84337
Phone (435) 207-4800

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1421366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1992194732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4088 N HIGHWAY 91",
            "city": "HYDE PARK",
            "state": "UT",
            "postal_code": "843184125",
            "telephone_number": "801-563-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4088 N HIGHWAY 91",
            "city": "HYDE PARK",
            "state": "UT",
            "postal_code": "843184125",
            "telephone_number": "801-563-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTIS",
        "first_name": "JULIA",
        "middle_name": "CHRISTENSEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-16",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "9701074-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyde Park, UT

Sources for this page

Verify at the official NPI Registry.