Active NPI
Laura Darlene Johnson, FNP
- Family Nurse Practitioner
- Bernalillo, NM
National Provider Identifier
1144405622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP-07103
- Practice address
- 481 Sandia Loop
Bernalillo, NM 87004-7076 - Phone
- (505) 771-5116
- Fax
- (505) 771-5127
- NPI assigned
- Jan 3, 2008
- Last updated
- Aug 26, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP-07103 | NM | Primary |
Addresses
Primary practice location
481 Sandia Loop
Bernalillo, NM 87004-7076
Mailing address
9551 Paseo del Norte NE
Albuquerque, NM 87122-2975
Phone (505) 800-7050
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81834748 | Medicaid | NM | |
| 8HM967 | Other | MEDICARE | |
| R859509 | Medicaid | MS |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP-07103 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lovelace Urgent Care, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Lovelace Urgent Care
- Urgent Care Clinic/Center
- Albuquerque, NM
- NPI 1932911351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409011200000",
"number": "1144405622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9551 PASEO DEL NORTE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871222975",
"telephone_number": "505-800-7050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "481 SANDIA LOOP",
"city": "BERNALILLO",
"state": "NM",
"postal_code": "870047076",
"telephone_number": "505-771-5116",
"fax_number": "505-771-5127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "LAURA",
"middle_name": "DARLENE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-03",
"last_updated": "2014-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "CNP-07103",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "81834748",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "8HM967",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "R859509",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bernalillo, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.