Active NPI
Joanne Johnston, A.N.P.
- Adult Health Nurse Practitioner
- Eugene, OR
National Provider Identifier
1316256696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- CNP01111
- Practice address
- 389 W 29TH Ave
Eugene, OR 97405-2726 - Phone
- (505) 272-2900
- NPI assigned
- Oct 4, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 085070560N3 | OR | |
| Adult Health Clinical Nurse Specialist | 364SA2200X | CNP01111 | NM | |
| Adult Health Nurse Practitioner | 363LA2200X | CNP01111 | NM | Primary |
Addresses
Primary practice location
389 W 29TH Ave
Eugene, OR 97405-2726
Mailing address
389 W 29TH Ave
Eugene, OR 97405-2726
Phone (541) 683-3618
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000F2462 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP01111 | NM | MD | Adult Health Nurse Practitioner |
| 085070560N3 | OR | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors Clinic LLP | Past | Accepting new patients | |
| Unm Medical Group Inc | Past | Accepting new patients |
Interoperability endpoints
- jjohnston80618@direct.phs.org
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Salem, OR
- NPI 1841275393
-
dba Center for Development & Disability
- Developmental Disabilities Clinic/Center
- Albuquerque, NM
- NPI 1851614432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672099200000",
"number": "1316256696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "389 W 29TH AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974052726",
"telephone_number": "541-683-3618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "389 W 29TH AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974052726",
"telephone_number": "505-272-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "JOANNE",
"credential": "A.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-04",
"last_updated": "2022-12-27",
"certification_date": "2022-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OR",
"license": "085070560N3",
"primary": false
},
{
"code": "364SA2200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "NM",
"license": "CNP01111",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NM",
"license": "CNP01111",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000F2462",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.