Active NPI
Emily Johnson
- Registered Nurse
- Vacaville, CA
National Provider Identifier
1306758636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 95338859
- Practice address
- 401 Nut Tree Rd
Vacaville, CA 95687-3508 - Phone
- (707) 453-6114
- NPI assigned
- Sep 21, 2026
- Last updated
- Sep 21, 2026
- Sex
- Unspecified or another gender identity
- 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 | 95338859 | CA | Primary |
Addresses
Primary practice location
401 Nut Tree Rd
Vacaville, CA 95687-3508
Mailing address
401 Nut Tree Rd
Vacaville, CA 95687-3508
Other practice location 1
6261 Vanden Rd
Vacaville, CA 95687-7294
Phone (707) 453-6250
Other practice location 2
301 Bel Air Dr
Vacaville, CA 95687-6343
Phone (707) 453-6260
Other practice location 3
200 Keith Way
Vacaville, CA 95687-5189
Phone (707) 453-6270
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789948800000",
"number": "1306758636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 NUT TREE RD",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956873508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 NUT TREE RD",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956873508",
"telephone_number": "707-453-6114"
}
],
"practiceLocations": [
{
"address_1": "6261 Vanden Rd",
"address_purpose": "LOCATION",
"city": "Vacaville",
"state": "CA",
"postal_code": "956877294",
"country_code": "US",
"telephone_number": "707-453-6250",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "301 Bel Air Dr",
"address_purpose": "LOCATION",
"city": "Vacaville",
"state": "CA",
"postal_code": "956876343",
"country_code": "US",
"telephone_number": "707-453-6260",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Keith Way",
"address_purpose": "LOCATION",
"city": "Vacaville",
"state": "CA",
"postal_code": "956875189",
"country_code": "US",
"telephone_number": "707-453-6270",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "EMILY",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2026-09-21",
"last_updated": "2026-09-21",
"certification_date": "2026-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95338859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vacaville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.