| Leeann Johnson, FNP | |
|
2965 W 3500 S, West Valley City, UT 84119-3602 | |
| (801) 965-3600 | |
| Not Available |
| Full Name | Leeann Johnson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 18 Years |
| Location | 2965 W 3500 S, West Valley City, Utah |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942462825 | NPI | - | NPPES |
| 1164672770 | Medicaid | UT | |
| 295486-4408 | Other | UT | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 295486-4405 (Utah) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 295486-4405 (Utah) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Granger Medical Clinic Pc | 3476465691 | 192 |
| Entity Name | Granger Medical Clinic PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184657041 PECOS PAC ID: 3476465691 Enrollment ID: O20031105000159 |
| Entity Name | Mountainstar Medical Group-st. Marks Hospital LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073795258 PECOS PAC ID: 1557443322 Enrollment ID: O20080201000093 |
| Entity Name | Granger Medical Specialists LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376159368 PECOS PAC ID: 4587074356 Enrollment ID: O20201105002207 |
| Mailing Address | Practice Location Address |
|---|---|
| Leeann Johnson, FNP 2965 W 3500 S, West Valley City, UT 84119-3602 Ph: (801) 965-3600 | Leeann Johnson, FNP 2965 W 3500 S, West Valley City, UT 84119-3602 Ph: (801) 965-3600 |
Danielle Renee Puri, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3448 West 3200 South, West Valley City, UT 84119 Phone: 801-359-2256 Fax: 801-364-4392 |
Thuy Vuong Nguyen Tran, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5373 W Lake Park Blvd, West Valley City, UT 84120 Phone: 801-902-8080 |
Dr. Israel Albino Ortiz, DNP PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6552 S Days End Ct, West Valley City, UT 84081 Phone: 801-574-6109 |
Kristen Gulock, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2965 W 3500 S, West Valley City, UT 84119 Phone: 801-965-3424 |
Tonya Wright, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4052 W Pioneer Pkwy, West Valley City, UT 84120 Phone: 801-386-1250 |
Shanell N Rich, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3725 W 4100 S, West Valley City, UT 84120 Phone: 801-965-3600 |
Mrs. Mary D Joyce, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3730 W 4700 S, West Valley City, UT 84118 Phone: 801-581-2121 |