Active NPI
Emily Johnson
- Family Nurse Practitioner
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2332909
- Practice address
- 830 Harrison Ave Ste 3500
Boston, MA 02118 - Phone
- (617) 638-8776
- Fax
- (617) 414-8772
- NPI assigned
- Aug 13, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN2332909. | MA | |
| Family Nurse Practitioner | 363LF0000X | RN2332909 | MA | Primary |
Addresses
Primary practice location
830 Harrison Ave Ste 3500
Boston, MA 02118
Mailing address
720 Harrison Ave # Dob503
Boston, MA 02118-2371
Phone (617) 414-5405
Other practice location 1
240 Acapesket Rd
East Falmouth, MA 02536-6018
Phone (804) 335-9905
Other practice location 2
830 Harrison Ave Ste 3500
Boston, MA 02118-2905
Phone (617) 638-8776
Other practice location 3
3700 O St NW
Washington, DC 20057-6018
Phone (002) 026-8701
Other practice location 4
830 Harrison Ave Ste 3500
Boston, MA 02118-2905
Phone (617) 638-8776
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Georgetown University School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
171 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414
Hospital & facility affiliations
- Musc Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.02 of 100
- Quality
- 62.41
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2332909. | MA | MD | Registered Nurse |
| 27269 | SC | MD | Emergency Medicine Physician |
| RN2332909 | MA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Associates of the Medical University of South Carol | Current | Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Current | Accepting new patients |
Locations
171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123
Interoperability endpoints
- ejohnson433777@direct.musc.edu
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Charleston, SC
- NPI 1043241110
-
- Family Medicine Physician
- Charleston, SC
- NPI 1982678496
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1073605879
-
- Rehabilitation Hospital
- Orangeburg, SC
- NPI 1154020147
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1659435840
-
- Psychiatric Hospital
- Orangeburg, SC
- NPI 1669171740
-
- General Acute Care Hospital
- Orangeburg, SC
- NPI 1710683354
-
- General Acute Care Hospital
- Orangeburg, SC
- NPI 1770280299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568764800000",
"number": "1003462334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 HARRISON AVE # DOB503",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182371",
"telephone_number": "617-414-5405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 HARRISON AVE STE 3500",
"city": "BOSTON",
"state": "MA",
"postal_code": "02118",
"telephone_number": "617-638-8776",
"fax_number": "617-414-8772"
}
],
"practiceLocations": [
{
"address_1": "240 Acapesket Rd",
"address_purpose": "LOCATION",
"city": "East Falmouth",
"state": "MA",
"postal_code": "025366018",
"country_code": "US",
"telephone_number": "804-335-9905",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "830 Harrison Ave Ste 3500",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021182905",
"country_code": "US",
"telephone_number": "617-638-8776",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3700 O St NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200576018",
"country_code": "US",
"telephone_number": "002-026-8701",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "830 Harrison Ave Ste 3500",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021182905",
"country_code": "US",
"telephone_number": "617-638-8776",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "EMILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-13",
"last_updated": "2019-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN2332909.",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2332909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.