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

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Edwards Chiropractic and Acupuncture Center LLC

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

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

  Chiropractor

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

  • 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)

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

• Amy B Cheatwood Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 26, 2023.

{
    "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.
• 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

• All providers in Russellville, AR
• 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.