David Johnson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R-209593-2 Issued in MN

Practice address

25 1St Ave NE
100
Buffalo, MN 55313-1568

Phone

(763) 682-3005

NPI assigned

Mar 24, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

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.

• Adara Home Health, Inc.

  • Home Health Agency
  • Buffalo, MN
  • NPI 1063420198
  NPD (past)

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427155200000",
    "number": "1225422629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 BRISBIN ST",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553035231",
            "telephone_number": "763-248-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 1ST AVE NE",
            "address_2": "100",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553131568",
            "telephone_number": "763-682-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DAVID",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-24",
        "last_updated": "2015-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R-209593-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Rose Janzen, MSW, LICSW
• Andrea Beth Jennings Dyreson, LICSW
• Rajan Jhanjee, MD
• Bryce Johnson, DC
• Cory Joseph Johnson, APRN
• Peggy Johnson, PT
• Brian James Johnsosn, MSW/LICSW
• Emalynn Marie Johnston, LMT
• Stephanie Johnstone
• Beth P Jones, PHD LP

• Registered Nurse in Buffalo, MN
• Providers in Buffalo, MN by specialty
• Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; 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.