LEEANN JOHNSON FNP NPI 1942462825

NPI Information

NPI: 1942462825
Provider Name: LEEANN JOHNSON, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3570 W 9000 S
STE 100
WEST JORDAN, UT
ZIP 84088
Phone: (801) 569-1999
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Leeann Johnson, FNP is a family nurse practitioner in West Jordan, UT. Leeann Johnson, FNP NPI is 1942462825. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3570 W 9000 S
STE 100
WEST JORDAN, UT
ZIP 84088-869
Phone: (801) 569-1999
Fax: (801) 569-2001

The NPI 1942462825 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/1/2008 and was last updated on 5/8/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	295486-4405	UTAH	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1164672770	MEDICAID	UTAH
2	295486-4408	OTHER	UTAH	LICENSE
3	P00679723	MEDICARE PIN
4	000065427	MEDICARE PIN	UTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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