Individual provider Active NPI

Emily Johnson

  • Registered Nurse
  • Vacaville, CA
National Provider Identifier
1306758636
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95338859 Issued in CA
Practice address
401 Nut Tree Rd
Vacaville, CA 95687-3508
Phone
(707) 453-6114
NPI assigned
Sep 21, 2026
Last updated
Sep 21, 2026By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.