Daphne Johnson, CNP

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

R17002 Issued in NM

Practice address

883 Lead Ave SE
Ste a
Albuquerque, NM 87102-3644

Phone

(505) 843-7131

Fax

(505) 246-9421

NPI assigned

May 17, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1477505196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "883 LEAD AVE SE",
            "address_2": "STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023644",
            "telephone_number": "505-843-7131",
            "fax_number": "505-246-9421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "883 LEAD AVE SE",
            "address_2": "STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023644",
            "telephone_number": "505-843-7131",
            "fax_number": "505-246-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DAPHNE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NM",
            "license": "R17002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "69122",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol S Johnson, LMFT
• Carter Thomas Johnson, DO
• Chelsea Victoria Johnson, PA-S
• Christy Johnson, LCSW
• Cynthia C Johnson, NP
• David A Johnson
• David K Johnson, CRNA
• Deborah Johnson
• Dedrick Johnson
• Edalyn Kay Johnson, CNP

• Obstetrics & Gynecology Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Obstetrics & Gynecology Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.