Darleen D Johnson, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

001696 Issued in CT

Practice address

501 Crescent St
Scsu-Granoff Student Health Center
New Haven, CT 06515-1330

Phone

(203) 392-6300

Fax

(203) 392-6301

NPI assigned

Jan 30, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Connecticut Heart Physicians, Inc.

  • Cardiovascular Disease Physician
  • Windsor, CT
  • NPI 1477588002
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1396881751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 TROUT BROOK DR",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 CRESCENT ST",
            "address_2": "SCSU-GRANOFF STUDENT HEALTH CENTER",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065151330",
            "telephone_number": "203-392-6300",
            "fax_number": "203-392-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DARLEEN",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "CT",
            "license": "001696",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CT",
            "license": "001696",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "001696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396881751",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carly Johnson, AU.D.
• Christa Marie Johnson, AU.D.
• Clinesha Danielle Johnson, M.ED
• Corinne Johnson
• Daniel Yee Johnson
• David Read Johnson, PH.D.
• Dirk C. Johnson, MD
• Erica Dawn Johnson, MD
• Jason Michael Johnson, M.D.
• Jeresha Johnson, RN

• Nurse Practitioner in New Haven, CT
• Providers in New Haven, CT by specialty
• Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.