Debra V Johnson, Aprn

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

DEBRA V JOHNSON, APRN

Practice address

35 Tower LN
Unit 102
Avon, CT 06001-4237

Phone

(860) 983-0655

NPI assigned

Apr 2, 2019

Organization subpart

No

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

Authorized official

Name

Sue Roach

Title

Billing Administrator

Phone

(860) 368-7092

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Debra V Johnson, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Avon, CT
  • NPI 1427056472
  NPD (past)

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554163200000",
    "number": "1093277709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 TRAINOR DR",
            "city": "WEATOGUE",
            "state": "CT",
            "postal_code": "060899613",
            "telephone_number": "860-983-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 TOWER LN",
            "address_2": "UNIT 102",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060014237",
            "telephone_number": "860-983-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRA V JOHNSON, APRN",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-02",
        "last_updated": "2019-04-02",
        "status": "A",
        "authorized_official_last_name": "ROACH",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "860-368-7092"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Patricia Defusco, MD
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• Erica Julia Delgado, BCBA, LBA-CT

• Psychiatric/Mental Health Nurse Practitioner in Avon, CT
• Providers in Avon, CT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.