Active NPI
Lisa Ann Johnson, APRN
- Registered Nurse
- Omaha, NE
National Provider Identifier
1265510960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 39326
- Practice address
- 7110 F St
Omaha, NE 68117-1014 - Phone
- (402) 595-1326
- NPI assigned
- Nov 1, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 39326 | NE | Primary |
| Family Nurse Practitioner | 363LF0000X | 1772 | NE |
Addresses
Primary practice location
7110 F St
Omaha, NE 68117-1014
Mailing address
22014 Giles Rd
Gretna, NE 68028-4017
Phone (402) 595-1326
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47078905413 | Medicaid | NE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39326 | NE | MD | Registered Nurse |
| 1772 | NE | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1265510960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22014 GILES RD",
"city": "GRETNA",
"state": "NE",
"postal_code": "680284017",
"telephone_number": "402-595-1326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7110 F ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681171014",
"telephone_number": "402-595-1326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "LISA",
"middle_name": "ANN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NE",
"license": "39326",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NE",
"license": "1772",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47078905413",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.