Individual provider Active NPI

Pricilla Johnson

  • Registered Nurse
  • Tyngsboro, MA
National Provider Identifier
1114560521
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN2276207 Issued in MA
Practice address
5 Robinhood Rd
Tyngsboro, MA 01879-1629
Phone
(978) 476-9641
NPI assigned
Oct 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X RN2276207 MA Primary

Addresses

Primary practice location

5 Robinhood Rd
Tyngsboro, MA 01879-1629

Mailing address

5 Robinhood Rd
Tyngsboro, MA 01879-1629
Phone (978) 476-9641

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL hearttoheartcareassociates@gmail.com

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN2276207MAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1571356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1114560521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ROBINHOOD RD",
            "city": "TYNGSBORO",
            "state": "MA",
            "postal_code": "018791629",
            "telephone_number": "978-476-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ROBINHOOD RD",
            "city": "TYNGSBORO",
            "state": "MA",
            "postal_code": "018791629",
            "telephone_number": "978-476-9641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PRICILLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-18",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2276207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "hearttoheartcareassociates@gmail.com",
            "affiliation": "N",
            "address_1": "5 Robinhood Rd",
            "city": "Tyngsboro",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018791629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tyngsboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.