Amy B. Cheatwood-Johnston, D.C., APRN-CNP, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0992020 Issued in CO

Practice address

610 Patterson LN
Russellville, AR 72802-1392

Phone

(479) 857-9766

NPI assigned

Mar 9, 2007

Last updated

Dec 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Amy B Cheatwood Former name

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: amy.cheatwood-johnston.1@30520.direct.athenahealth.com

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.

• Edwards Chiropractic and Acupuncture Center LLC

  • Chiropractor
  • Edwards, CO
  • NPI 1215068440
  NPD (past)
• Lutheran Hospital Association of the San Luis Valley

  dba SLV Regional Medical Center Physician Services

  • Orthopaedic Surgery Physician
  • Monte Vista, CO
  • NPI 1184866410

  Chiropractor

  NPD (past)
• Lutheran Hospital Association of the San Luis Valley

  dba SLV Health La Jara Clinic

  • Rural Health Clinic/Center
  • La Jara, CO
  • NPI 1942511019
  NPD (past)
• Taos Health Systems, Inc., Holy Cross Hospital

  • Critical Access Hospital
  • Taos, NM
  • NPI 1902338049
  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1487785366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 MAIN STREET",
            "city": "LA JARA",
            "state": "CO",
            "postal_code": "81140",
            "telephone_number": "719-274-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 PATTERSON LN",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728021392",
            "telephone_number": "479-857-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEATWOOD-JOHNSTON",
        "first_name": "AMY",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "D.C., APRN-CNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1313",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "0101849",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0992020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "CHEATWOOD",
            "middle_name": "B",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ola Chapman
• Charles W. Jones, Jr., P.a. (The Jones Clinic)
• Danielle Marie Chastain
• Suzanna Chatterjee, M.D.
• Mindy Chavers
• Jaci Elizabeth Chenowith, OTD, OTR/L
• James Cherry, MD
• Corri Beth Chism, CF SLP
• Laura Christensen
• Christian Psychological Resources

• Family Nurse Practitioner in Russellville, AR
• Providers in Russellville, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.