Active NPI
Charlotte Johnson, RN
- Registered Nurse
- Overland Park, KS
National Provider Identifier
1477787117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 14-92848-032
- Practice address
- 10955 Lowell Ave Ste 425
Overland Park, KS 66210-2393 - Phone
- (913) 345-9006
- NPI assigned
- May 10, 2009
- Last updated
- May 10, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2003022365 | MO | |
| Registered Nurse | 163W00000X | 14-92848-032 | KS | Primary |
Addresses
Primary practice location
10955 Lowell Ave Ste 425
Overland Park, KS 66210-2393
Mailing address
750 N 75TH Ter
Kansas City, KS 66112-2808
Phone (832) 428-6367
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14-92848-032 | KS | MD | Registered Nurse |
| 2003022365 | MO | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241913600000",
"number": "1477787117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 N 75TH TER",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661122808",
"telephone_number": "832-428-6367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10955 LOWELL AVE STE 425",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662102393",
"telephone_number": "913-345-9006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "CHARLOTTE",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-10",
"last_updated": "2009-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2003022365",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KS",
"license": "14-92848-032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.