Active NPI
Elton Edward Johnson Jr., APRN
- Licensed Vocational Nurse
- Honolulu, HI
National Provider Identifier
1508844861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 69774
- Practice address
- 400 Sand Island Pkwy
Uscg
Honolulu, HI 96819-4326 - Phone
- (808) 842-2930
- Fax
- (808) 832-3281
- NPI assigned
- Jan 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 583059 | TX | |
| Ambulatory Care Registered Nurse | 163WP2201X | 45098 | HI | |
| Licensed Vocational Nurse | 164X00000X | 69774 | TX | Primary |
| Family Nurse Practitioner | 363LF0000X | 675 | HI |
Addresses
Primary practice location
400 Sand Island Pkwy
Uscg
Honolulu, HI 96819-4326
Mailing address
98-139 Kanuku St
Apt 109
Aiea, HI 96701-5123
Phone (808) 488-1237
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
| License | State | Type | Specialty |
|---|---|---|---|
| 69774 | TX | MD | Professional Counselor |
| 675 | HI | MD | Psychologist |
| 583059 | TX | MD | General Practice Registered Nurse |
| 45098 | HI | MD | Ambulatory Care Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1508844861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98-139 KANUKU ST",
"address_2": "APT 109",
"city": "AIEA",
"state": "HI",
"postal_code": "967015123",
"telephone_number": "808-488-1237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 SAND ISLAND PKWY",
"address_2": "USCG",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968194326",
"telephone_number": "808-842-2930",
"fax_number": "808-832-3281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ELTON",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-06",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "TX",
"license": "583059",
"primary": false
},
{
"code": "163WP2201X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ambulatory Care",
"state": "HI",
"license": "45098",
"primary": false
},
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "TX",
"license": "69774",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "HI",
"license": "675",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.