Individual provider Active NPI

Veronica Lynn Johnson, PMHNP-BC, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Arden, NC
National Provider Identifier
1326455635
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5007008 Issued in NC
Practice address
4 Long Shoals Rd
Arden, NC 28704-5544
Phone
(828) 214-5150
NPI assigned
Jul 18, 2014
Last updated
Jun 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5007008 NC
Family Nurse Practitioner 363LF0000X APRN-1952 HI
Family Nurse Practitioner 363LF0000X AP8614 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5007008 NC Primary

Addresses

Primary practice location

4 Long Shoals Rd
Arden, NC 28704-5544

Mailing address

4 Long Shoals Rd Ste B434
Arden, NC 28704-5544
Phone (828) 318-8577

Other identifiers 1

IdentifierTypeStateIssuer
1326455635MedicaidNC

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2025 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP8614AZMDFamily Nurse Practitioner
APRN-1952HIMDFamily Nurse Practitioner
5007008NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mahina Mission Dba Moonflower Medicine and Psychiatry CurrentSince Jun 9, 2024 Accepting new patients
Peter P Greco MD PastSince Jun 10, 2024 Accepting new patients
Iron Will Holdings, LLC PastSince Oct 13, 2024 Accepting new patients

Locations

4 Long Shoals Rd
Arden, NC 28704
Phone (828) 214-5150

4 Long Shoals Rd
Ste B434
Arden, NC 28704

Interoperability endpoints

  • Direct secure messaging: veronica.johnson.p1@direct.daymarkrecovery.nextgenshare.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1326455635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LONG SHOALS RD STE B434",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287045544",
            "telephone_number": "828-318-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 LONG SHOALS RD",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287045544",
            "telephone_number": "828-214-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "VERONICA",
        "middle_name": "LYNN",
        "credential": "PMHNP-BC, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-18",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5007008",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-1952",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8614",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5007008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326455635",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arden, NC

Sources for this page

Verify at the official NPI Registry.