Individual provider Active NPI

Adrian Takeyama Johnson, APRN-CNP

  • Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1588346902
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1129628 Issued in TX
Practice address
3051 N Zaragoza Rd
El Paso, TX 79938-7921
Phone
(915) 401-8019
NPI assigned
Aug 4, 2023
Last updated
Jan 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1129628 TX Primary

Addresses

Primary practice location

3051 N Zaragoza Rd
El Paso, TX 79938-7921

Mailing address

3051 N Zaragoza Rd
El Paso, TX 79938-7921
Phone (915) 401-8019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20241014000753 TX Practitioner - Nurse Practitioner 1254863467 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1129628TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chauburg PLLC CurrentSince Sep 13, 2024 Accepting new patients

Locations

1618 N Lee Trevino Dr
Ste C
El Paso, TX 79936
Phone (915) 401-8019

1618 N Lee Trevino Dr
Ste D
El Paso, TX 79936
Phone (206) 703-2204

3051 N Zaragoza Rd
El Paso, TX 79938
Phone (915) 227-8065

Interoperability endpoints

  • Direct secure messaging: adrian.johnson.1@32563.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1588346902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3051 N ZARAGOZA RD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799387921",
            "telephone_number": "915-401-8019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 N ZARAGOZA RD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799387921",
            "telephone_number": "915-401-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ADRIAN",
        "middle_name": "TAKEYAMA",
        "name_prefix": "Mr.",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-04",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1129628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.