Individual provider Active NPI

Jean Karen Johnson, FNP-C

  • Nurse Practitioner
  • Chico, CA
National Provider Identifier
1467534354
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
10325 Issued in CA
Practice address
1560 Humboldt Rd
Suite #5
Chico, CA 95928-9101
Phone
(530) 891-6331
Fax
(530) 891-6200
NPI assigned
Oct 19, 2006
Last updated
Mar 26, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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 10325 CA Primary

Addresses

Primary practice location

1560 Humboldt Rd
Suite #5
Chico, CA 95928-9101

Mailing address

1560 Humboldt Rd
Suite #5
Chico, CA 95928-9101
Phone (530) 891-6331

Other identifiers 1

IdentifierTypeStateIssuer
251863OtherCAREGISTERED NURSE LIC#

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
10325CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florence Medical Group of California PC Past Accepting new patients

Organizations & group practices 1

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1467534354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 HUMBOLDT RD",
            "address_2": "SUITE #5",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959289101",
            "telephone_number": "530-891-6331",
            "fax_number": "530-891-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 HUMBOLDT RD",
            "address_2": "SUITE #5",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959289101",
            "telephone_number": "530-891-6331",
            "fax_number": "530-891-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JEAN",
        "middle_name": "KAREN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "10325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE LIC#",
            "identifier": "251863",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.