Individual provider Active NPI

David Hale Johnson, NP-C

  • Nurse Practitioner
  • Boone, NC
National Provider Identifier
1437519501
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5008392 Issued in NC
Practice address
169 Doctors Drive
Boone, NC 28607
Phone
(828) 262-9520
Fax
(828) 262-9524
NPI assigned
Mar 2, 2016
Last updated
Mar 2, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5008392 NC Primary

Addresses

Primary practice location

169 Doctors Drive
Boone, NC 28607

Mailing address

169 Doctors Dr
Boone, NC 28607-5017
Phone (828) 262-9520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20160321000977 NC Practitioner - Nurse Practitioner 2961709878 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

432 Hospital Dr
Linville, NC 28646-3026
Phone (828) 262-9168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5008392NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Watauga Medical Center Inc CurrentSince Mar 1, 2016 Accepting new patients
Watauga Medical Center Inc CurrentSince Mar 1, 2016 Accepting new patients
Charles a Cannon Jr Memorial Hospital Inc CurrentSince Mar 26, 2018 Accepting new patients
Charles a. Cannon, Jr. Memorial Hospital, Inc CurrentSince Mar 26, 2018 Accepting new patients
Watauga Medical Center, Inc. Current Accepting new patients
Appalachian Regional Behavioral Healthcare Inc CurrentSince Sep 14, 2021 Accepting new patients
Appalachian Regional Behavioral Healthcare Inc CurrentSince Sep 14, 2021 Accepting new patients
Appalachian Regional Medical Associates, Inc. CurrentSince Oct 5, 2016 Accepting new patients
Appalachian Regional Behavioral Healthcare Inc Nurse Practitioner Past Accepting new patients
Charles a Cannon Jr Memorial Hospital Inc. Past Accepting new patients
Charles E Baker MD PA Past Accepting new patients
Watauga Medical Center Inc Past Accepting new patients

Locations

155 Furman Rd
Ste 101
Boone, NC 28607
Phone (828) 262-4111

169 Doctors Dr
Boone, NC 28607
Phone (828) 264-4553

211 Milton Brown Heirs Rd
Boone, NC 28607
Phone (828) 264-6720

338 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211

Interoperability endpoints

  • Direct secure messaging: djohnson1013844@direct.unc.nchie.net

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456876800000",
    "number": "1437519501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 DOCTORS DR",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075017",
            "telephone_number": "828-262-9520",
            "fax_number": "828-262-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 DOCTORS DRIVE",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "28607",
            "telephone_number": "828-262-9520",
            "fax_number": "828-262-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DAVID",
        "middle_name": "HALE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5008392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

Verify at the official NPI Registry.