Rachael Lottie Johnson, CRNP-F

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R224985 Issued in MD

Practice address

1150 Professional CT
Suite P
Hagerstown, MD 21740-4100

Phone

(301) 665-9696

Fax

(240) 420-5715

NPI assigned

Jan 3, 2011

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

• Rachael Lottie Frederick Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1194029397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK RD",
            "address_2": "EXECUTIVE PLAZA 1, SUITE 501",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210311002",
            "telephone_number": "301-665-9696",
            "fax_number": "240-420-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 PROFESSIONAL CT",
            "address_2": "SUITE P",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217404100",
            "telephone_number": "301-665-9696",
            "fax_number": "240-420-5715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RACHAEL",
        "middle_name": "LOTTIE",
        "name_prefix": "Mrs.",
        "credential": "CRNP-F",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-03",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R224985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHAEL",
            "last_name": "FREDERICK",
            "middle_name": "LOTTIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eric U Johnson, D.C.
• Gaylen S Johnson, M.D.
• Hardwick S Johnson Jr.
• Jeffrey Pace Johnson, MD
• Linnette Johnson
• Rebecca Ann Johnson, CRNP
• Sabrina Johnson
• Jonathan Gilbart, DDS, PA
• Dominique Jones-Cherry
• Bryan Christopher Jones

• Family Nurse Practitioner in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.