Active NPI
Laura Johnson
- Registered Nurse
- Mishawaka, IN
National Provider Identifier
1285363150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 28087212A
- Practice address
- 1540 Trinity PL
Mishawaka, IN 46545-5006 - Phone
- (574) 272-9000
- Fax
- (574) 272-9293
- NPI assigned
- Jun 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28087212A | IN | Primary |
Addresses
Primary practice location
1540 Trinity PL
Mishawaka, IN 46545-5006
Mailing address
1540 Trinity PL
Mishawaka, IN 46545-5006
Phone (574) 272-9000
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | laura.johnson17@va.gov | Direct | |
| Other URL | Direct |
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 |
|---|---|---|---|
| 28087212A | IN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654560000000",
"number": "1285363150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 TRINITY PL",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465455006",
"telephone_number": "574-272-9000",
"fax_number": "574-272-9293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 TRINITY PL",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465455006",
"telephone_number": "574-272-9000",
"fax_number": "574-272-9293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "LAURA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-07",
"last_updated": "2022-06-07",
"certification_date": "2022-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28087212A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "laura.johnson17@va.gov",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1540 Trinity Pl",
"city": "Mishawaka",
"state": "IN",
"country_code": "US",
"postal_code": "465455006",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "email",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1540 Trinity Pl",
"city": "Mishawaka",
"state": "IN",
"country_code": "US",
"postal_code": "465455006",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Mishawaka, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.