DR. JONATHAN MICHAEL NEILSON DNP NPI 1780236109

NPI Information

  • NPI: 1780236109
  • Provider Name: DR. JONATHAN MICHAEL NEILSON, DNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 12391 S 4000 W
    RIVERTON, UT
    ZIP 84096
  • Phone: (801) 302-1700

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NPI Details

DR. Jonathan Michael Neilson, DNP is a pediatrics nurse practitioner in Riverton, UT. DR. Jonathan Michael Neilson, DNP NPI is 1780236109. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12391 S 4000 W
RIVERTON, UT
ZIP 84096-012
Phone: (801) 302-1700

The NPI 1780236109 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 7/16/2019 and was last updated on 1/23/2025.

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
1363LF0000XNurse PractitionerFamily9523151-4405UTAHNo
2363LP2300XNurse PractitionerPrimary Care9523151-4405UTAHNo
3363LP0200XNurse PractitionerPediatrics9523151-4405UTAHYes
4363L00000XNurse Practitioner9523151-4405UTAHNo
5163W00000XRegistered Nurse9523151-3102UTAHNo

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: 11/21/2025

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