Active NPI
Robert Howard Johnson Jr., N.P.
- Family Nurse Practitioner
- Saint Joseph, MO
National Provider Identifier
1427486190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN081322
- Practice address
- 5325 Faraon St
Saint Joseph, MO 64506 - Phone
- (816) 271-7273
- Fax
- (816) 271-7376
- NPI assigned
- Oct 16, 2013
- Last updated
- Nov 8, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN081322 | GA | Primary |
| Family Nurse Practitioner | 363LF0000X | 23819 | CA | |
| Family Nurse Practitioner | 363LF0000X | 2018012958 | MO |
Addresses
Primary practice location
5325 Faraon St
Saint Joseph, MO 64506
Mailing address
5325 Faraon St
Saint Joseph, MO 64506-3488
Phone (816) 271-7273
Other practice location 1
105 Far West Dr Ste 202
Saint Joseph, MO 64506-3514
Phone (816) 271-8133
Other practice location 2
340 Hospital Dr
Macon, GA 31217-3838
Phone (478) 765-7000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23819 | Other | CA | NURSE PRACTITIONER LICENSE |
| RN081322 | Other | GA | NURSE PRACTITIONER LICENSE |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018012958 | MO | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573171200000",
"number": "1427486190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5325 FARAON ST",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645063488",
"telephone_number": "816-271-7273",
"fax_number": "816-271-7376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5325 FARAON ST",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "64506",
"telephone_number": "816-271-7273",
"fax_number": "816-271-7376"
}
],
"practiceLocations": [
{
"address_1": "105 Far West Dr Ste 202",
"address_purpose": "LOCATION",
"city": "Saint Joseph",
"state": "MO",
"postal_code": "645063514",
"country_code": "US",
"telephone_number": "816-271-8133",
"fax_number": "816-271-8134",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "340 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Macon",
"state": "GA",
"postal_code": "312173838",
"country_code": "US",
"telephone_number": "478-765-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "ROBERT",
"middle_name": "HOWARD",
"name_suffix": "Jr.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-10-16",
"last_updated": "2019-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN081322",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "23819",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2018012958",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTITIONER LICENSE",
"identifier": "23819",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTITIONER LICENSE",
"identifier": "RN081322",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Joseph, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.