Robert Johnson, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

3011600 Issued in KY

Practice address

104 Hardin LN Ste a
Somerset, KY 42503

Phone

(606) 678-8323

Fax

(606) 678-0496

NPI assigned

Oct 9, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BIACBA

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.

• Mountainview Behavioral & Neuroscience Center LLC

  • Psychiatry Physician
  • Somerset, KY
  • NPI 1144358391
  Medicare reassignment NPD
• 1025 Health, LLC

  • Adult Health Nurse Practitioner
  • Somerset, KY
  • NPI 1891303368
  NPD Authorized official
• Kaleidoscope Insights

  • Mental Health Counselor
  • Somerset, KY
  • NPI 1508416843
  NPD

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

{
    "created_epoch": "1507507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1417467010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 HARDIN LN STE A",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425033800",
            "telephone_number": "606-678-8323",
            "fax_number": "606-451-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 HARDIN LN STE A",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "42503",
            "telephone_number": "606-678-8323",
            "fax_number": "606-678-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-09",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KY",
            "license": "3011600",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "3011600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leigh Anne Johnson-Sluder, CSW, BCBA
• Abbigail Johnson, LCSW
• Ashley Johnson, DO
• Barbara L Johnson, LCSW
• McKenna Johnson
• Valerie Johnson
• Kimberly Johnston Beasley, PT
• Amy Lankford Jones, PA-C
• Cynthia Jones, P.T.
• Dakota Jones, MD

• Adult Health Nurse Practitioner in Somerset, KY
• Providers in Somerset, KY by specialty
• Adult Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.

Verify at the official NPI Registry.