Nancy Banfield Johnson, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F300298-01 Issued in NY

Practice address

217 N Aurora St
Ithaca, NY 14850-4345

Phone

(607) 273-2811

NPI assigned

Jul 16, 2020

Last updated

Nov 17, 2020By the provider in NPPES

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

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: nancy.banfieldjohnson@costelloandcostellomds.chartmakerdirect.com

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1437767407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MORTON RD",
            "city": "VAN ETTEN",
            "state": "NY",
            "postal_code": "148899724",
            "telephone_number": "607-589-6381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 N AURORA ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504345",
            "telephone_number": "607-273-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANFIELD JOHNSON",
        "first_name": "NANCY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F300298-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Warren Baker Jr., DMD
• Francesca Balada, PSY.D.
• Jamie Balas, HEALTH EDUCATOR
• Derek Baldin
• Mary E Balliett, D.C.
• Danielle Marie Austin Banfield, CLC
• Margrethe Bang-Termansen, RN
• Bangs Ambulance, Inc.
• Shah Bano
• Jill Charlene Barbuti Van Leuken, MS OTR/L

• Adult Health Nurse Practitioner in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.