Camille Rose Johnson, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP00782 Issued in NM

Practice address

7301 Jefferson St NE
Suite G
Albuquerque, NM 87109-4355

Phone

(505) 225-4044

Fax

(505) 508-5284

NPI assigned

Jan 29, 2007

Last updated

Sep 29, 2014By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

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

State licenses

Practice roles

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.

• Functional Family Medicine

  • Family Health Clinical Nurse Specialist
  • Albuquerque, NM
  • NPI 1932509403
  NPD (past) Authorized official

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411948800000",
    "number": "1508902412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 JEFFERSON ST NE",
            "address_2": "SUITE G",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094355",
            "telephone_number": "505-225-4044",
            "fax_number": "505-508-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 JEFFERSON ST NE",
            "address_2": "SUITE G",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094355",
            "telephone_number": "505-225-4044",
            "fax_number": "505-508-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CAMILLE",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2014-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "R36488",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP00782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7001754",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Johnson
• Blake Emil Johnson, PHARM.D.
• Bradley Johnson, PA-C
• Brian Johnson, MD
• Brianna Johnson
• Carley Renee Johnson, SLP
• Carol S Johnson, LMFT
• Carter Thomas Johnson, DO
• Chelsea Victoria Johnson, PA-S
• Christy Johnson, LCSW

• Family Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; 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.