Lynn Cooper Johnson, FNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP11496 Issued in AZ

Practice address

914 N San Francisco St Ste D
Flagstaff, AZ 86001-3254

Phone

(928) 243-0244

Fax

(928) 597-5198

NPI assigned

Apr 11, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Cooper Johnson Professional name

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Horizon Health and Wellness, Inc.

  • General Practice Physician
  • Apache Junction, AZ
  • NPI 1659308989
  Medicare reassignment NPD
• Changepoint Integrated Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Holbrook, AZ
  • NPI 1205877610
  Medicare reassignment
• Horizon Health and Wellness, Inc.

  • Federally Qualified Health Center (FQHC)
  • Globe, AZ
  • NPI 1689436412
  NPD
• Az Sober Living & Behavioral Health Group, LLC

  • Psychiatry Physician
  • Phoenix, AZ
  • NPI 1538683081
  NPD (past)
• Call'S Community Clinic, LLC

  • Family Nurse Practitioner
  • Taylor, AZ
  • NPI 1750094181
  NPD (past)
• Horizon Health and Wellness, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Florence, AZ
  • NPI 1477082642
  NPD (past)
• Mountain Springs Counseling P.L.L.C

  • Community/Behavioral Health Agency
  • Show Low, AZ
  • NPI 1881058261
  NPD (past)
• Neuro Focus Center LLC

  • Clinic/Center
  • Gilbert, AZ
  • NPI 1790075208
  NPD (past)
• Neuro Focus Center-West

  • Clinic/Center
  • Phoenix, AZ
  • NPI 1558731794
  NPD (past)

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1124318159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5551 S WHITE MOUNTAIN RD UNIT 2",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017449",
            "telephone_number": "928-985-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 N SAN FRANCISCO ST STE D",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013254",
            "telephone_number": "928-243-0244",
            "fax_number": "928-597-5198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "580 E Old Linden Rd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Show Low",
            "state": "AZ",
            "postal_code": "859014817",
            "country_code": "US",
            "telephone_number": "928-985-1495",
            "fax_number": "928-597-5198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LYNN",
        "middle_name": "COOPER",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-11",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "AZ",
            "license": "RN168022",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP5735",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP11496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COOPER",
            "last_name": "JOHNSON",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Donn Johnson, M.D.
• Jacqueline Kay Johnson, ED.D.
• Joshua Johnson, ATC
• Laura Johnson, ACNPC-AG
• Lori Sue Johnson, COTA/L
• Mackenzie Renae Johnson
• Ronald T Johnson Jr., ED. D.
• Sara Lue Johnson
• Summer Faith Johnson, FNP-C
• Tarryn Eve Johnson

• Psychiatric/Mental Health Nurse Practitioner in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.