Nicole Johnson, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

189778 Issued in WI

Practice address

1225 Carpenter Ave
Eau Claire, WI 54703-1949

Phone

(715) 214-9511

NPI assigned

May 6, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399334400000",
    "number": "1508276981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 CARPENTER AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547031949",
            "telephone_number": "715-214-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 CARPENTER AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547031949",
            "telephone_number": "715-214-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "NICOLE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-06",
        "last_updated": "2014-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "189778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Caye Johnson, APRN
• Madison Kay Johnson, PA-C
• Mary Therese Johnson, RN, APRN
• Michael A Johnson, RPH
• Morgan Johnson, MS
• Ray Johnson
• Robert John Johnson, M.D.
• Ross Harcourt Johnson, DDS
• Steven Daniel Johnson, MD
• Tami Jean Johnson, COTA

• Registered Nurse in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; 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.