Marjorie Johnson, CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

0017001376 Issued in VA

Practice address

7440 Spring Village Dr
Springfield, VA 22150-4446

Phone

(703) 923-4644

Fax

(703) 923-4625

NPI assigned

Jul 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Erickson Health Medical Group of Virginia PC

  • Internal Medicine Physician
  • Ashburn, VA
  • NPI 1871759340

  Adult Health

  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244160000000",
    "number": "1407886559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 MAIDEN CHOICE LN",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212285968",
            "telephone_number": "703-923-4644",
            "fax_number": "703-923-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7440 SPRING VILLAGE DR",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221504446",
            "telephone_number": "703-923-4644",
            "fax_number": "703-923-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARJORIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2009-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0017001376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "0016",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "8305186",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-VA",
            "identifier": "1407886559",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MD",
            "identifier": "64650001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alex Johnson
• Brooke Johnson, MA
• Erin K Johnson, FNP-BC
• Howard Jermaine Johnson, LMFT
• Kristina Marie Johnson, MOTRL
• Brian Joseph Jones, M.D.
• Gail Marie Jones, OTR
• Lauren N Jones, HIS
• Leah Jones, M.A., BCBA
• Markeya Jones, PSY.D.

• Adult Health Nurse Practitioner in Springfield, VA
• Providers in Springfield, VA by specialty
• Adult Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.

Verify at the official NPI Registry.