Sara Ruth Johnson, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A006012 Issued in AR

Practice address

2203 E Nettleton Ave Ste a
Jonesboro, AR 72401-5370

Phone

(870) 203-9889

NPI assigned

Mar 26, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1265993182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 COUNTY ROAD 360",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724010170",
            "telephone_number": "870-819-2959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 E NETTLETON AVE STE A",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015370",
            "telephone_number": "870-203-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SARA",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A006012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachelle Johnson, SLP
• Robert Johnson, COTA
• Roehl W Johnson, M.D.
• Samantha Lorene Johnson, QBHP
• Samuel James Johnson
• Sarah Elizabeth Johnson, COTA
• Shantal K Johnson
• Shemika Johnson
• Sienna Johnson
• Stephanie Annette Johnson, LPN

• Family Nurse Practitioner in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.