Evelyn J Johnson, RN CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

203108 Issued in MA

Practice address

477 Southwick Rd
Westfield, MA 01085-4734

Phone

(413) 562-5256

Fax

(413) 568-4757

NPI assigned

Jan 24, 2007

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ejohnson14069@direct.chppoc.masshiway.net

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.

• Pediatric Associates of Hampden County

  • Pediatrics Physician
  • West Springfield, MA
  • NPI 1689729857
  NPD (past)
• Pediatric Associates of Hampden County, Inc.

  • Pediatrics Physician
  • Westfield, MA
  • NPI 1649336850
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1164577821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 MAPLE ST",
            "address_2": "PO BOX 1055",
            "city": "BELCHERTOWN",
            "state": "MA",
            "postal_code": "010079416",
            "telephone_number": "413-883-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 SOUTHWICK RD",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010854734",
            "telephone_number": "413-562-5256",
            "fax_number": "413-568-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "EVELYN",
        "middle_name": "J",
        "credential": "RN CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "203108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MABCBS PROVIDER NUMBER",
            "identifier": "NP9973",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gwen-Ellen E Jeffries
• Erica Jessen, MD
• Tida Jiana
• Jennifer Johndrow, DPT
• Erin Elizabeth Johnson, RN
• Michelle Johnston
• Teshena Icylin Jones-Swaby, PMHNP
• Melissa Jones
• Sebastien Joseph, PA-S
• Marianne Joyce, MA, OTR

• Family Nurse Practitioner in Westfield, MA
• Providers in Westfield, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.