Johanna J Cornett, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

53-77674 Issued in KS

Practice address

919 W Zerr Rd
Garden City, KS 67846

Phone

(620) 272-3600

Fax

(620) 272-3606

NPI assigned

Jun 21, 2017

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: johanna.cornett.1@14940.direct.athenahealth.com

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1194245027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 W ZERR RD",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678462795",
            "telephone_number": "620-272-3600",
            "fax_number": "620-272-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 W ZERR RD",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "67846",
            "telephone_number": "620-272-3600",
            "fax_number": "620-272-3606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "919 W Zerr Rd",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "KS",
            "postal_code": "67846",
            "country_code": "US",
            "telephone_number": "620-272-3600",
            "fax_number": "620-272-3606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORNETT",
        "first_name": "JOHANNA",
        "middle_name": "J",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-77674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "77674",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Brooke Cooper, LCPC
• County of Finney
• County of Finney
• May Craig, OT
• Kristen Marie Crowley, N.P.
• Tabatha Cruz, LPC-T

• Family Nurse Practitioner in Garden City, KS
• Providers in Garden City, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.