Active NPI
Karen Cecile Johnston, MD
- Psychiatry Physician
- Tucson, AZ
National Provider Identifier
1376781906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 22690
- Practice address
- 6420 E Broadway Blvd
Suite B302
Tucson, AZ 85710-3534 - Phone
- (520) 647-9173
- Fax
- (520) 647-9263
- NPI assigned
- Feb 4, 2009
- Last updated
- Feb 4, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 22690 | AZ | Primary |
Addresses
Primary practice location
6420 E Broadway Blvd
Suite B302
Tucson, AZ 85710-3534
Mailing address
3693 N River Canyon Rd
Tucson, AZ 85750-2113
Phone (520) 904-0249
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22690 | AZ | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233705600000",
"number": "1376781906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3693 N RIVER CANYON RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857502113",
"telephone_number": "520-904-0249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6420 E BROADWAY BLVD",
"address_2": "SUITE B302",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857103534",
"telephone_number": "520-647-9173",
"fax_number": "520-647-9263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "KAREN",
"middle_name": "CECILE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-04",
"last_updated": "2009-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "22690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.