Dale Allen Johnson, ARNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

45205 Issued in KS

Practice address

301 S Washington
Coldwater, KS 67029

Phone

(620) 582-2136

Fax

(620) 582-2515

NPI assigned

Jul 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Comanche County Hospital

  • Clinic/Center
  • Coldwater, KS
  • NPI 1891710703
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1104856533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 64 BOX 51A",
            "city": "COLDWATER",
            "state": "KS",
            "postal_code": "670299340",
            "telephone_number": "620-582-2518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S WASHINGTON",
            "city": "COLDWATER",
            "state": "KS",
            "postal_code": "67029",
            "telephone_number": "620-582-2136",
            "fax_number": "620-582-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DALE",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "ARNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "45205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100395640B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• County of Comanche
• County of Comanche
• Melanie Sue Dunn, ARNP-C
• Lisa Lianne Gales, PHARM D
• Grit and Grace Counsel and Consult
• Deanna Reagan Kittrell
• Jennifer Mugnier, MS, CCC-SLP
• Carmen Dawnette Nelson, APRN
• New Image Dental Care
• Gabrielle Parker

• Family Nurse Practitioner in Coldwater, KS
• Providers in Coldwater, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.