Nadine Irene Johnson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

710223 Issued in CA

Practice address

1607 Plantation Rd
Mohave Valley, AZ 86440-8420

Phone

(928) 346-4679

Fax

(928) 346-4686

NPI assigned

May 4, 2011

Last updated

May 4, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304467200000",
    "number": "1003108499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 PLANTATION RD",
            "city": "MOHAVE VALLEY",
            "state": "AZ",
            "postal_code": "864408420",
            "telephone_number": "928-346-4679",
            "fax_number": "928-346-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 PLANTATION RD",
            "city": "MOHAVE VALLEY",
            "state": "AZ",
            "postal_code": "864408420",
            "telephone_number": "928-346-4679",
            "fax_number": "928-346-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "NADINE",
        "middle_name": "IRENE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "710223",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN153520",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia S Goodwin, MPT
• Ann M Guimond, CCC-SLP
• Sheila Ann Halbert, COUMSELOR
• Cynthia Lenette Harper, NP
• William Benjamin Hookstra, M.A.
• Sonja Angelique Mann
• Mary A Mattox
• Daniela Isabel McCormick, SLPA
• Bobby McGee, LMSW
• Sonja Ranae McGraw, LMSW-17945

• Registered Nurse in Mohave Valley, AZ
• Providers in Mohave Valley, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.