Codi Vonnice Johnston, MSN, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

265248 Issued in AZ

Practice address

500 W Thomas Rd Ste 220
Phoenix, AZ 85013-4215

Phone

(602) 887-5025

Fax

(888) 571-6435

NPI assigned

Dec 20, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Codi Vonnice Spencer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing

State licenses

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1124788955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17150 W ROYAL PALM RD",
            "city": "WADDELL",
            "state": "AZ",
            "postal_code": "853557554",
            "telephone_number": "623-755-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W THOMAS RD STE 220",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134215",
            "telephone_number": "602-887-5025",
            "fax_number": "888-571-6435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "CODI",
        "middle_name": "VONNICE",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-20",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "265248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CODI",
            "last_name": "SPENCER",
            "middle_name": "VONNICE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William T. Johnson, MD
• Zvinashe Johnson, RN
• Alicia Johnston
• Christine Lynn Johnston, PSY.D.
• Clarissa Johnston, DO
• Cooper Johnston, D.O.
• Curtis A Johnston, M.D.
• Eleanor Johnston, MD
• Gregory Scott Johnston, M.D.
• Janice G Johnston, M.D.

• All providers in Phoenix, AZ
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.