Individual provider Active NPI

Barbara Johnson, FNP

  • Family Nurse Practitioner
  • Eugene, OR
National Provider Identifier
1003223264
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201393630NP-PP Issued in OR
Practice address
995 Willagillespie Rd # 100
Eugene, OR 97401-2186
Phone
(541) 484-5437
NPI assigned
Jul 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201393630NP-PP OR Primary

Addresses

Primary practice location

995 Willagillespie Rd # 100
Eugene, OR 97401-2186

Mailing address

3065 Lincoln St
Eugene, OR 97405-2767
Phone (541) 521-9435

Other names 1

  • Barbara Joyce Johnson Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bjohnson806046@oc.providencedirect.org
Direct Messaging Address bjohnson806046@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150112000328 OR Practitioner - Nurse Practitioner 7315261864 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
201393630NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Oregon CurrentSince Jun 26, 2017 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services Oregon CurrentSince Jun 26, 2017 Accepting new patients
Lane County Oregon CurrentSince Sep 29, 2014 Accepting new patients
Providence Health & Services - Oregon Past Accepting new patients
Eugene Pediatric Associates LLC Past Accepting new patients

Locations

1022 Green Acres Rd
Eugene, OR 97408
Phone (541) 682-3551

9135 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

830 NE 47th Ave
Portland, OR 97213
Phone (503) 215-2233

1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250

9135 SW Barnes Rd
Ste 561
Portland, OR 97225
Phone (503) 216-2339

2073 Olympic St
Springfield, OR 97477
Phone (541) 682-3530

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1003223264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3065 LINCOLN ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974052767",
            "telephone_number": "541-521-9435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 WILLAGILLESPIE RD # 100",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012186",
            "telephone_number": "541-484-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BARBARA",
        "name_prefix": "Dr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-18",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201393630NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bjohnson806046@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "830 NE 47th Ave",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972132212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bjohnson806046@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "9135 SW Barnes Rd",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972256646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "JOHNSON",
            "middle_name": "JOYCE",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.