Gloria Johnson

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

R24530 Issued in NM

Practice address

405 Hunter St
Espanola, NM 87532-2656

Phone

(505) 367-3342

NPI assigned

Sep 11, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Espanola Public Schools

  • Local Education Agency (LEA)
  • Espanola, NM
  • NPI 1205988102
  NPD (past)

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1104652627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 HUNTER ST",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875322656",
            "telephone_number": "505-367-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 HUNTER ST",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875322656",
            "telephone_number": "505-367-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "GLORIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, School",
            "state": "NM",
            "license": "R24530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnny Perry Jaramillo
• Jason Jarvis
• Tina Jobst
• Cheryl J Johnson, RN
• Dianne Johnson, MD
• Morgan Leigh Johnson, MPAS, PA-C
• Simon M Johnson, BMS
• Carrie Elizabeth Jones, MD
• Jordan E Jones, DO
• Steven D Jones, D.O.

• School Registered Nurse in Espanola, NM
• Providers in Espanola, NM by specialty
• School Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.