Individual provider Active NPI

Julie Elizabeth Johnson, CRNP

  • Family Nurse Practitioner
  • Scottsboro, AL
National Provider Identifier
1043954266
Registry record updated Aug 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-141090 Issued in AL
Practice address
1601 Veterans Dr Ste 107
Scottsboro, AL 35769-3717
Phone
(256) 999-0337
Fax
(256) 999-0335
NPI assigned
Apr 25, 2022
Last updated
Aug 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-141090 AL Primary
Registered Nurse 163W00000X 1-141090 AL

Addresses

Primary practice location

1601 Veterans Dr Ste 107
Scottsboro, AL 35769-3717

Mailing address

1300 Campground Cir
Scottsboro, AL 35769-3446
Phone (256) 599-6464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20240711001168 TN Practitioner - Nurse Practitioner 1254876584 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-141090ALMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Urgent Care PLLC Family CurrentSince Jun 1, 2024 Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Jun 1, 2024 Accepting new patients

Locations

403 McBrien Rd
East Ridge, TN 37412
Phone (423) 875-0700

2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900

625 E 12th St
South Pittsburg, TN 37380
Phone (423) 648-4460

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788048000000",
    "number": "1043954266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 CAMPGROUND CIR",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357693446",
            "telephone_number": "256-599-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 VETERANS DR STE 107",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357693717",
            "telephone_number": "256-999-0337",
            "fax_number": "256-999-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JULIE",
        "middle_name": "ELIZABETH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-25",
        "last_updated": "2026-08-30",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-141090",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-141090",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsboro, AL

Sources for this page

Verify at the official NPI Registry.