Active NPI
Devonna Anne Johnson, FNP-C
- Family Nurse Practitioner
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R45687
- Practice address
- 926 Main St
Nashville, TN 37206-3614 - Phone
- (844) 660-1069
- Fax
- (615) 235-9725
- NPI assigned
- Nov 14, 2006
- Last updated
- Nov 16, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R45687 | NM | |
| Family Nurse Practitioner | 363LF0000X | R45687 | NM | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | R45687 | NM |
Addresses
Primary practice location
926 Main St
Nashville, TN 37206-3614
Mailing address
PO Box 781
Pie Town, NM 87827-0781
Phone (204) 881-7565
Other practice location 1
110 Solano Rd
Pie Town, NM 87827-8782
Phone (520) 488-1756
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 221096 | Medicaid | AZ |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Kareo | Health Information Exchange (HIE) | RIP & SNORT HEALTHCARE, LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, AZ, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1000 Greg Kruschek Ave
Nome, AK 99762
PO Box
Suite 966
Nome, AK 99762-0966
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.43 of 100
- Quality
- 69.26
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 79.68
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R45687 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norton Sound Health Corporation | Current | Accepting new patients | |
| Norton Sound Health Corporation | Current | Accepting new patients | |
| Norton Sound Health Corporation | Current | Accepting new patients | |
| Cura Healthcare | Family | Current | Accepting new patients |
| Greater Phoenix Collaborative Care PC | Past | Accepting new patients | |
| Greater Phoenix Collaborative Care PC | Past | Accepting new patients | |
| Pecos Valley of New Mexico, LLC | Past | Accepting new patients |
Locations
8226 Menaul Blvd NE
Albuquerque, NM 87110
Phone (505) 413-3719
7683 SE 27th St
Mercer Island, WA 98040
Phone (206) 228-8530
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Albuquerque, NM
- NPI 1649984667
-
- Critical Access Hospital
- Nome, AK
- NPI 1154358232
-
- Critical Access Hospital
- Nome, AK
- NPI 1225101041
-
- General Practice Physician
- Tucson, AZ
- NPI 1003833179
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Nome, AK
- NPI 1427187046
-
- Clinic/Center
- Phoenix, AZ
- NPI 1750686614
-
- Diagnostic Radiology Physician
- Phoenix, AZ
- NPI 1790581742
-
- General Practice Physician
- Carlsbad, NM
- NPI 1972569820
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Nome, AK
- NPI 1225101041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700092800000",
"number": "1588736938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781",
"city": "PIE TOWN",
"state": "NM",
"postal_code": "878270781",
"telephone_number": "204-881-7565",
"fax_number": "888-614-3881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "926 MAIN ST",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372063614",
"telephone_number": "844-660-1069",
"fax_number": "615-235-9725"
}
],
"practiceLocations": [
{
"address_1": "110 Solano Rd",
"address_purpose": "LOCATION",
"city": "Pie Town",
"state": "NM",
"postal_code": "878278782",
"country_code": "US",
"telephone_number": "520-488-1756",
"fax_number": "888-614-3881",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "DEVONNA",
"middle_name": "ANNE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2023-11-16",
"certification_date": "2023-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NM",
"license": "R45687",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "R45687",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NM",
"license": "R45687",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "221096",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Kareo",
"affiliation": "Y",
"endpointDescription": "EMR",
"affiliationName": "RIP & SNORT HEALTHCARE, LLC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5603 US HWY 60/CLINIC",
"city": "Pie Town",
"state": "NM",
"country_code": "US",
"postal_code": "878278782",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.