Alicia D Johnson, APRN-CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R57581 Issued in OK

Practice address

3500 Healthplex Pkwy
Suite 200
Norman, OK 73072-9738

Phone

(405) 515-2260

Fax

(405) 307-5617

NPI assigned

Jul 2, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Alicia D Breath Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

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.

• Ohh Rural Clinics, LLC.

  • Internal Medicine Physician
  • Oklahoma City, OK
  • NPI 1972822534
  NPD (past)

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1225235377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1330",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730701330",
            "telephone_number": "405-515-2260",
            "fax_number": "405-307-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 HEALTHPLEX PKWY",
            "address_2": "SUITE 200",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730729738",
            "telephone_number": "405-515-2260",
            "fax_number": "405-307-5617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ALICIA",
        "middle_name": "D",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "OK",
            "license": "R0057581",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "R57581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200114010A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "BREATH",
            "middle_name": "D",
            "credential": "CNS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John R Resneder MD PC
• John R. Christiansen Inc MD
• Deborah John, LMT
• Simi John, DPT
• Kerri Leigh Johnson Seiler, PT
• Andria D Johnson, P.T.A.
• Angela Elizabeth Johnson
• April Shondrelle Johnson
• Ashton Paige Johnson, PA-C
• Brandi Jo Johnson, CRC

• Nurse Practitioner in Norman, OK
• Providers in Norman, OK by specialty
• Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; 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.