Julie Randolph Johnson, FNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

5007496 Issued in NC

Practice address

236 N Mebane St Ste 123
Burlington, NC 27217-3900

Phone

(336) 639-7149

Fax

(336) 639-7141

NPI assigned

Mar 11, 2015

Last updated

Nov 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC, VA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Mobile FNP Jrjohnson

  dba Mobile FNP JR Johnson PLLC

  • Addiction Medicine (Family Medicine) Physician
  • Burlington, NC
  • NPI 1194382945

  Multi-Specialty

  NPD Authorized official
• New Hope Solutions & Wellness Center

  • Community/Behavioral Health Agency
  • Eden, NC
  • NPI 1447892088

  Multi-Specialty

  NPD
• Act Medical Group PA

  • Specialist
  • Wilmington, NC
  • NPI 1245219799

  Multi-Specialty

  NPD (past)
• Journey Towards Improved Health

  • Mental Health Counselor
  • Madison, NC
  • NPI 1992198071

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1013300383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 N MEBANE ST STE 123",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272173900",
            "telephone_number": "336-639-7149",
            "fax_number": "336-639-7814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 N MEBANE ST STE 123",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272173900",
            "telephone_number": "336-639-7149",
            "fax_number": "336-639-7141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 N Franklin St",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "NC",
            "postal_code": "270251916",
            "country_code": "US",
            "telephone_number": "336-949-4473",
            "fax_number": "336-639-7141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JULIE",
        "middle_name": "RANDOLPH",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-11",
        "last_updated": "2023-11-28",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "5007496",
            "primary": false
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "NC",
            "license": "5007496",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5007496",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "5007496",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5007496",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NC",
            "license": "5007496",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013300383",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194382945",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.bing.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "https://www.bing.com/search?q=url&qs=n&form=QBRE&sp=-1&pq=url&sc=6-3&sk=&cvid=8D8EC6D98FE74F708EB9FACC74BC32CE",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "https://www.bing.com",
            "address_1": "236 N Mebane St Ste 123",
            "city": "Burlington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272173900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joe K Harris Jr DDS
• Bryan Niles Johnson, DDS
• Christiana Johnson
• David S Johnson, M.D.
• Eric Mitchell Johnson, MD
• Lexus Jade Johnson, BCBA, LBA, MS
• Morgan Blair Johnson, PT
• Naomi Johnson, LCAS-A
• Stephanie R. Johnson, PLCSW
• Tiffany Jo Johnson, FNP-C

• Psychiatric/Mental Health Nurse Practitioner in Burlington, NC
• Providers in Burlington, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.