JACE DAKOTA JOHNNY (NPI# 1558920835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558920835 |
| Entity Type | Individual |
| Full Name | JACE DAKOTA JOHNNY |
| Credential | DNP, APRN, AGACNP-BC |
| Practice Address |
2000 Circle of Hope Dr Salt Lake City UT 84112-5550 |
| Practice Telephone | 8018690876 |
| Mailing Telephone | 8018690876 |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2019-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
9106759-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
9106759-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2000 CIRCLE OF HOPE DR |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84112-5550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699775767 | Sunil Sharma | Internal Medicine | 2000 Circle of Hope Dr, #3380, Salt Lake City, UT 84112-5550 | 2005-07-29 |
| 1124638812 | Youngbeen Jeon Shamo | Nurse Practitioner | 2000 Circle of Hope Dr, Salt Lake City, UT 84112-5550 | 2020-08-06 |
| 1760091359 | Samantha Jean Powell | Social Worker | 2000 Circle of Hope Dr, Salt Lake City, UT 84112-5550 | 2020-07-29 |
| 1760035174 | Nidhi Sharma | Nurse Practitioner | 2000 Circle of Hope Dr, Salt Lake City, UT 84112-5550 | 2019-07-24 |
| 1356901003 | Cassie Kuhn | Nurse Practitioner | 2000 Circle of Hope Dr, Salt Lake City, UT 84112-5550 | 2019-06-15 |
| 1134788623 | Ambreen Khan | Genetic Counselor, MS | 2000 Circle of Hope Dr, Salt Lake City, UT 84112-5550 | 2019-06-10 |
| 1548738826 | Yelena Ping Wu | Psychologist | 2000 Circle of Hope Dr, Salt Lake City, UT 84112-5550 | 2018-11-05 |
| 1902380058 | Emily Catherine Armstrong | Physician Assistant | 2000 Circle of Hope Dr, Salt Lake City, UT 84112-5550 | 2018-09-24 |
| 1467934398 | Alexandra Suzanne Locke | Physician Assistant | 2000 Circle of Hope Dr, Salt Lake City, UT 84112-5550 | 2018-09-06 |
| 1548752827 | Kelsie J Anderson | Nurse Practitioner | 2000 Circle of Hope Dr, Salt Lake City, UT 84112-5550 | 2018-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484023 | Courtney Hook | Student in an Organized Health Care Education/Training Program | 1860 E 250 S Hper East, Room 208, Salt Lake City, UT 84112 | 2020-07-10 |
| 1235792839 | Dylan Lamb | Rehabilitation Practitioner | 1850 S. 260 E, Salt Lake City, UT 84112 | 2019-04-18 |
| 1740787407 | David Bradley Patch | Student in an Organized Health Care Education/Training Program | University of Utah Hospital Dental Clinic #7, 50 N. Medical Dr., Salt Lake City, UT 84112 | 2018-04-10 |
| 1962949586 | Gina Whitehead | Nurse Practitioner | 10 South 2000 East, Salt Lake City, UT 84112 | 2017-01-20 |
| 1316493117 | Dana Friske | Specialist/Technologist | 290 S 1850 E, Room 103, Salt Lake City, UT 84112 | 2016-08-31 |
| 1548612435 | Frances Millett Johnson | Nurse Practitioner | 555 South Foothill Blvd, Suite 301, Salt Lake City, UT 84112 | 2016-07-05 |
| 1679920904 | Jason Lippman | Family Medicine | 555 S. Foothill Blvd., Ste. 301, Salt Lake City, UT 84112 | 2016-05-17 |
| 1447604335 | Joseph Mcbeth | Specialist/Technologist | 580 S. Guardsman Way, Salt Lake City, UT 84112 | 2016-04-18 |
| 1104213636 | Cameron Critchfield | Student in an Organized Health Care Education/Training Program | 26 South 2000 East, Suite 5900, Salt Lake City, UT 84112 | 2015-04-22 |
| 1942697933 | Jennifer Rose | Dentist | 50 N Medical Dr, University Hospital, Salt Lake City, UT 84112 | 2015-04-17 |
| Find all providers in zip 84112 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194353268 | Kassandra Olson | Nurse Practitioner | 3151 E 3900 S, Salt Lake City, UT 84124-2143 | 2020-04-01 |
| 1609426659 | Loriann Stromness | Nurse Practitioner | 5121 S Cottonwood St Ste 700, Salt Lake City, UT 84107-5701 | 2019-09-11 |
| 1447802418 | Amanda Nichole Eckersley | Nurse Practitioner | 8th Avenue C Street, Salt Lake City, UT 84143-0001 | 2019-07-10 |
| 1750858643 | Kristen Elena Gooch | Nurse Practitioner | 36 S State St Ste 2100, Salt Lake City, UT 84111-1472 | 2018-10-29 |
| 1659853992 | Jessica Singer | Nurse Practitioner | 762 E Browning Ave, Salt Lake City, UT 84105-2209 | 2018-09-04 |
| 1184147175 | Suzanne Milne | Nurse Practitioner | Lds Hospital 8th Avenue and C St Fl 8, Salt Lake City, UT 84143-0001 | 2017-07-20 |
| 1366964728 | Matthew Wayne Jarvis | Nurse Practitioner | 1250 E 3900 S Ste 30, Salt Lake City, UT 84124-1354 | 2017-07-07 |
| 1841749256 | Ashle Mayme Crane | Nurse Practitioner | 4435 S Loren Von Dr, Salt Lake City, UT 84124-3839 | 2016-09-26 |
| 1417405044 | Brett Lavar Carroll | Nurse Practitioner | 8 Th Ave & C Street E8, Salt Lake City, UT 84143-0001 | 2016-09-12 |
| 1487042537 | Adult Care Clinic Inc | Nurse Practitioner | 3920 S 1100 E Ste 250, Salt Lake City, UT 84124-1213 | 2014-12-23 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84112 |
Please comment or provide details below to improve the information on JACE DAKOTA JOHNNY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.