Active NPI
Diana Jean Johnson, FNP
- Family Nurse Practitioner
- Huntington, MA
National Provider Identifier
1366746315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN285127
- Practice address
- 73 Russell Rd
Huntington, MA 01050-9777 - Phone
- (413) 667-3009
- Fax
- (413) 667-8746
- NPI assigned
- Jan 5, 2011
- Last updated
- Nov 2, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN285127 | MA | Primary |
Addresses
Primary practice location
73 Russell Rd
Huntington, MA 01050-9777
Mailing address
73 Russell Rd
Huntington, MA 01050
Phone (413) 667-3009
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002026602 | Other | MA | MEDICARE PTAN |
| 55448 | Other | MA | HEALTH NEW ENGLAND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260127001722 | NH | Order and Referring Only - Nurse Practitioner | 3476735267 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351814400000",
"number": "1366746315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73 RUSSELL RD",
"city": "HUNTINGTON",
"state": "MA",
"postal_code": "01050",
"telephone_number": "413-667-3009",
"fax_number": "413-667-8746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73 RUSSELL RD",
"city": "HUNTINGTON",
"state": "MA",
"postal_code": "010509777",
"telephone_number": "413-667-3009",
"fax_number": "413-667-8746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "DIANA",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-05",
"last_updated": "2012-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN285127",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "002026602",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NEW ENGLAND",
"identifier": "55448",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntington, MA
- Gateway Regional School District
- Melissa A. Greenspan, MD
- Hilltown Community Ambulance Association Inc
- Hilltown Community Health Centers, Inc. (Huntington Health Center)
- Hilltown Community Health Centers, Inc. (Gateway School Based Health Center)
- Sheri L Johnson, LMHC
- Rachel C. Keim, LDN
- Leah King
- Martha M Klaczak, LMHC, LADCI, CADACII
- Doreen Michele Kruger
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; 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.