Individual provider Active NPI

Shawmbria Johnson

  • Family Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1437933108
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
296632 Issued in AZ
Practice address
3367 S Mercy Rd Ste 110
Gilbert, AZ 85297-7601
Phone
(480) 728-5673
Fax
(480) 728-8149
NPI assigned
Aug 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 296632 AZ Primary

Addresses

Primary practice location

3367 S Mercy Rd Ste 110
Gilbert, AZ 85297-7601

Mailing address

3367 S Mercy Rd Ste 110
Gilbert, AZ 85297-7601
Phone (480) 728-5673

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
296632AZMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: shawmbria.johnson@3056459120644.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1437933108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3367 S MERCY RD STE 110",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977601",
            "telephone_number": "480-728-5673",
            "fax_number": "480-728-8149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3367 S MERCY RD STE 110",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977601",
            "telephone_number": "480-728-5673",
            "fax_number": "480-728-8149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHAWMBRIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-23",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "296632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.