Individual provider Active NPI

Lyndee Johnson, FNP-C

  • Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1285989608
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP4541 Issued in AZ
Practice address
3300 W Camelback Rd BLDG 47
Phoenix, AZ 85017-1097
Phone
(602) 639-6215
Fax
(888) 972-4657
NPI assigned
Jul 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP4541 AZ
Nurse Practitioner 363L00000X AP4541 AZ Primary

Addresses

Primary practice location

3300 W Camelback Rd BLDG 47
Phoenix, AZ 85017-1097

Mailing address

890 W Elliot Rd
Suite 103
Gilbert, AZ 85233-5102
Phone (480) 545-1413

Other practice location 1

890 W Elliot Rd
Suite 103
Gilbert, AZ 85233-5102
Phone (480) 545-1413 ext. 1313

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP4541AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alphamed Urgent Care PastSince Feb 25, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1285989608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 W ELLIOT RD",
            "address_2": "SUITE 103",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335102",
            "telephone_number": "480-545-1413",
            "fax_number": "480-545-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 W CAMELBACK RD BLDG 47",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850171097",
            "telephone_number": "602-639-6215",
            "fax_number": "888-972-4657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "890 W Elliot Rd",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852335102",
            "country_code": "US",
            "telephone_number": "480-545-1413 x1313",
            "fax_number": "480-545-1434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LYNDEE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-23",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4541",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP4541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.