Maritza Johnson, ANP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

71004666A Issued in IN

Practice address

9900 Bren Rd E
Minnetonka, MN 55343-9664

Phone

(317) 499-2606

NPI assigned

Nov 26, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1417387598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11122 TURFGRASS WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462368321",
            "telephone_number": "317-374-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 BREN RD E",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439664",
            "telephone_number": "317-499-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARITZA",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-26",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IN",
            "license": "71004666A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica J Johnson, OTR
• Jill Nicole Johnson
• Karlene Johnson, DDS
• Kassidee Lynn Johnson, BA
• Kathryn Johnson, MOT, OTR/L
• Miranda Jean Johnson, M.S., CCC-SLP
• Shanaya Jo Johnson
• Summer Johnson
• Terri Sue Johnson, M.D.
• Vicki Johnson, M.A., L.M.F.T.

• Gerontology Nurse Practitioner in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Gerontology Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.