Provider Demographics
NPI:1306272471
Name:HOOTON, JOSH (A/GNP, FNP-C, PMHNP)
Entity type:Individual
Prefix:DR
First Name:JOSH
Middle Name:
Last Name:HOOTON
Suffix:
Gender:M
Credentials:A/GNP, FNP-C, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 W STATE ROAD 198 STE 3
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:UT
Mailing Address - Zip Code:84653-5608
Mailing Address - Country:US
Mailing Address - Phone:801-504-6665
Mailing Address - Fax:801-504-6073
Practice Address - Street 1:251 W STATE ROAD 198 STE 3
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:UT
Practice Address - Zip Code:84653-5608
Practice Address - Country:US
Practice Address - Phone:801-504-6665
Practice Address - Fax:801-504-6073
Is Sole Proprietor?:No
Enumeration Date:2013-09-20
Last Update Date:2019-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6227164-4405363LF0000X, 363LG0600X, 363LP0808X, 363L00000X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT6227164-4405OtherAPRN LICENSE NUMBER