Jamie Rae Johnson, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R0083068 Issued in OK

Practice address

509 E Highway 33
Perkins, OK 74059-4129

Phone

(405) 547-2473

Fax

(405) 547-2925

NPI assigned

Jan 14, 2025

Last updated

Jan 14, 2025By 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

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": "1736812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1285445957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 E HIGHWAY 33",
            "city": "PERKINS",
            "state": "OK",
            "postal_code": "740594129",
            "telephone_number": "405-547-2473",
            "fax_number": "405-547-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 E HIGHWAY 33",
            "city": "PERKINS",
            "state": "OK",
            "postal_code": "740594129",
            "telephone_number": "405-547-2473",
            "fax_number": "405-547-2925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JAMIE",
        "middle_name": "RAE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "R0083068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iowa Tribe of Oklahoma (Perkins Family Clinic)
• Iowa Tribe of Oklahoma (Bah-Kho-Je Behavioral Health)
• Iowa Tribe of Oklahoma (Bah-Kho-Je Dental)
• Iowa Tribe of Oklahoma (Perkins Family Clinic Pharmacy)
• Iowa Tribe of Oklahoma (Bah-Kho-Je Medical Center)
• Joshua R Johnson
• Jessica Rene' Kennedy
• Amatula Khabir
• Justin Kimmel
• Sarah Kyle, CLD, CLSE

• Registered Nurse in Perkins, OK
• Providers in Perkins, OK by specialty
• Registered Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.

Verify at the official NPI Registry.