Sandra P. Johnson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

200550082NP Issued in OR

Practice address

525 Madrona St
Port Orford, OR 97465-9552

Phone

(541) 332-3861

Fax

(541) 332-0250

NPI assigned

Jun 22, 2006

Last updated

Jun 7, 2009By the provider in NPPES

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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Curry Health District

  dba Curry Medical North

  • Rural Health Clinic/Center
  • Gold Beach, OR
  • NPI 1770303968
  NPD (past)
• Curry Health District

  dba Curry Family Medical

  • Rural Health Clinic/Center
  • Port Orford, OR
  • NPI 1811939093
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244332800000",
    "number": "1265478549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94220 4TH ST",
            "city": "GOLD BEACH",
            "state": "OR",
            "postal_code": "974447756",
            "telephone_number": "541-332-3861",
            "fax_number": "541-332-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 MADRONA ST",
            "city": "PORT ORFORD",
            "state": "OR",
            "postal_code": "974659552",
            "telephone_number": "541-332-3861",
            "fax_number": "541-332-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SANDRA",
        "middle_name": "P.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2009-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200550082NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CURRY HEALTH DISTRICT TAX ID",
            "identifier": "93-0937095",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CURRY FAMILY MEDICAL MEDICAID",
            "identifier": "276235",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276235",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CURRY FAMILY MEDICAL RHC",
            "identifier": "38-3990",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bandon Community Health Ctr (Coast Community Health Center)
• Bandon Community Health Ctr
• Curry Health District (Curry Family Medical)
• Malori Page Dixon, CCHMC, NCC
• Janine Jason, M.D.
• Tamara Lynn Johnson, MED, RD,LD,CDE
• Harold D Lowry, MD
• Joan Anne McNerlin
• Thomas E. Pitchford III, MD
• Port Orford Community Ambulance Inc

• Family Nurse Practitioner in Port Orford, OR
• Providers in Port Orford, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2009; 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.