Phebe Johnson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

041.167141 Issued in IL

Practice address

12490 Bradford Dr
Parker, CO 80134-3610

Phone

(630) 267-3672

NPI assigned

Jan 28, 2021

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1124619564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12490 BRADFORD DR",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801343610",
            "telephone_number": "630-267-3673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12490 BRADFORD DR",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801343610",
            "telephone_number": "630-267-3672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PHEBE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.167141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl Starck Johnson, MD
• Christopher Johnson, MA,LPCC
• Derek Ryan Johnson, M.D.
• Lauren Johnson
• Lorette Johnson, MD
• Tiffany Dawn Johnson, RN
• Melissa R Johnston-Burnham, LCSW
• Jessica Joiner, LCSW, CAC III,
• Brynn Jollay, LCSW
• Alexander Jones, MD

• Registered Nurse in Parker, CO
• Providers in Parker, CO by specialty
• Registered Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.