Active NPI
Gilda Audrey Johnson, CPNP
- Pediatric Nurse Practitioner
- Broomall, PA
National Provider Identifier
1053446583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- SP001395D
- Practice address
- 1991 Sproul Rd
Suite 300
Broomall, PA 19008-3512 - Phone
- (610) 325-1390
- Fax
- (610) 325-1373
- NPI assigned
- Feb 23, 2007
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 26NJ00003900 | NJ | |
| Pediatric Nurse Practitioner | 363LP0200X | SP001395D | PA | Primary |
Addresses
Primary practice location
1991 Sproul Rd
Suite 300
Broomall, PA 19008-3512
Mailing address
1991 Sproul Rd
Suite 300
Broomall, PA 19008-3512
Phone (610) 325-1390
Other practice location 1
2000 Hamilton St Ste 301
Philadelphia, PA 19130-3874
Phone (215) 774-1166
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00003900 | NJ | MD | Nurse Practitioner |
| SP001395D | PA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocare, LLC | Past | Accepting new patients |
Interoperability endpoints
- gilda.johnson@advocaredoctors.eclinicaldirectplus.com
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Cherry Hill, NJ
- NPI 1780696732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748908800000",
"number": "1053446583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1991 SPROUL RD",
"address_2": "SUITE 300",
"city": "BROOMALL",
"state": "PA",
"postal_code": "190083512",
"telephone_number": "610-325-1390",
"fax_number": "610-325-1373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1991 SPROUL RD",
"address_2": "SUITE 300",
"city": "BROOMALL",
"state": "PA",
"postal_code": "190083512",
"telephone_number": "610-325-1390",
"fax_number": "610-325-1373"
}
],
"practiceLocations": [
{
"address_1": "2000 Hamilton St Ste 301",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191303874",
"country_code": "US",
"telephone_number": "215-774-1166",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "GILDA",
"middle_name": "AUDREY",
"name_prefix": "Ms.",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-23",
"last_updated": "2025-06-03",
"certification_date": "2025-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NJ00003900",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "PA",
"license": "SP001395D",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broomall, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.