Carla M Johnson, RN

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

497840 Issued in CA

Practice address

2890 Gateway Oaks Dr Ste 250
Sacramento, CA 95833-4328

Phone

(916) 649-4002

NPI assigned

Aug 25, 2017

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503619200000",
    "number": "1568989085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2890 GATEWAY OAKS DR STE 250",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958334328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2890 GATEWAY OAKS DR STE 250",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958334328",
            "telephone_number": "916-649-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CARLA",
        "middle_name": "M",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-25",
        "last_updated": "2017-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "CA",
            "license": "497840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bianca Monique Johnson
• Brad Johnson
• Brittany Alicia Johnson
• Brooke Anne Johnson
• Camella Johnson, PA
• Carlee Johnson
• Cerise Johnson
• Chanel Johnson
• Chevist Johnson
• Cheyenne Marie Johnson

• Diabetes Educator Registered Nurse in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Diabetes Educator Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2017; 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.