Individual provider Active NPI

Johnna Gayle Hooks

  • Registered Nurse
  • Prescott Valley, AZ
National Provider Identifier
1477920122
Registry record updated Aug 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
878554 Issued in TX
Practice address
5250 N Stover Dr
Prescott Valley, AZ 86314-3842
Phone
(928) 759-4800
Fax
(928) 759-4820
NPI assigned
Aug 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 878554 TX Primary

Addresses

Primary practice location

5250 N Stover Dr
Prescott Valley, AZ 86314-3842

Mailing address

3279 N Constance Dr
Unit #1
Prescott Valley, AZ 86314-8898
Phone (979) 446-1876

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
878554TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440720000000",
    "number": "1477920122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3279 N CONSTANCE DR",
            "address_2": "UNIT #1",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863148898",
            "telephone_number": "979-446-1876",
            "fax_number": "928-759-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 N STOVER DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863143842",
            "telephone_number": "928-759-4800",
            "fax_number": "928-759-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOKS",
        "first_name": "JOHNNA",
        "middle_name": "GAYLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-28",
        "last_updated": "2015-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "878554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; 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.