Active NPI
Elaine Marie Johnson, NP
- Family Nurse Practitioner
- Newport, NH
National Provider Identifier
1194796730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 043163-23
- Practice address
- 17 Main Street
Valley Regional Primary Care Physicians
Newport, NH 03773 - Phone
- (603) 863-6400
- Fax
- (603) 863-7800
- NPI assigned
- Jan 31, 2006
- Last updated
- Feb 22, 2012
- 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 | 043163-23 | NH | Primary |
Addresses
Primary practice location
17 Main Street
Valley Regional Primary Care Physicians
Newport, NH 03773
Mailing address
243 Elm St
Claremont, NH 03743
Phone (603) 863-6400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30347909 | Medicaid | NH | |
| ONP0714 | Medicaid | VT |
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 |
|---|---|---|---|
| 043163-23 | NH | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329868800000",
"number": "1194796730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "243 ELM ST",
"city": "CLAREMONT",
"state": "NH",
"postal_code": "03743",
"telephone_number": "603-863-6400",
"fax_number": "603-863-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 MAIN STREET",
"address_2": "VALLEY REGIONAL PRIMARY CARE PHYSICIANS",
"city": "NEWPORT",
"state": "NH",
"postal_code": "03773",
"telephone_number": "603-863-6400",
"fax_number": "603-863-7800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ELAINE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-31",
"last_updated": "2012-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NH",
"license": "043163-23",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30347909",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ONP0714",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newport, NH
- Health Center Pharmacy LLC (Health Center Pharmacy)
- Benjamin Holobowicz Jr., PAC
- Laura Holt
- Jeffrey Holuszko, D.C.
- Gianna Lynn James, M.S. CCC-SLP
- Keady Family Practice
- Michael J Kricko, DO
- Lake Sunapee Community Health Services (Connecticut Valley Day Out Program)
- Caitlin Lennon, LICSW
- Lindsay Loerch, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.