Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tiffanii Sharee Johnson

Individual provider Gerontology Nurse Practitioner · NPI 1104622182

Tiffanii Sharee Johnson is a Nurse Practitioner in Grantsville, Utah. Qualified in 2021, 5 years ago. Practices with University of Utah Adult Services, a 1,740-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
5
Licensed in
UT
In the registry since
2025
Specialties on file
2

Practice location Address checks out

408 Zachary Way
Grantsville, UT 84029-9777
Phone: (435) 830-4936
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 8716958-4405 (UT)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 8716958-4405 (UT)

Record details

NPI number1104622182
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 20, 2025
Last updated in NPPESMarch 31, 2026
Certification dateMarch 31, 2026
Mailing address408 Zachary Way, Grantsville, UT 84029-9777

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice University Of Utah Adult Services — 1740 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount