Individual provider Active NPI

Sarah McKinley Johnson, ACNP-BC

  • Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1588949465
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
16718 Issued in TN
Practice address
1848 Rossville Ave
Chattanooga, TN 37408-1932
Phone
(422) 551-6555
Fax
(256) 304-5456
NPI assigned
Oct 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN218083 GA
Registered Nurse 163W00000X 178617 TN
Acute Care Nurse Practitioner 363LA2100X RN218083 GA
Nurse Practitioner 363L00000X 16718 TN Primary

Addresses

Primary practice location

1848 Rossville Ave
Chattanooga, TN 37408-1932

Mailing address

601 Hurricane Creek Rd
Chattanooga, TN 37421-6303
Phone (423) 242-5227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20121003000105 TN Practitioner - Nurse Practitioner 8022267277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.23 of 100Reported as group
Quality
90
Improvement activities
40
Cost
82.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN218083GAMDRegistered Nurse
178617TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Informe Healthcare Specialists, LLC CurrentSince Sep 2, 2024 Accepting new patients
Informe Healthcare TN, LLC CurrentSince Mar 3, 2024 Accepting new patients
Informe Healthcare in, LLC Past Accepting new patients

Locations

709 Walnut St
Chattanooga, TN 37402
Phone (423) 266-7721

1444 Old Weisgarber Rd
Knoxville, TN 37909
Phone (865) 500-6665

310 21st Ave N
Nashville, TN 37203
Phone (629) 253-5300

2741 W Layton Ave
Ste 106
Milwaukee, WI 53221

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1588949465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 HURRICANE CREEK RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374216303",
            "telephone_number": "423-242-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1848 ROSSVILLE AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374081932",
            "telephone_number": "422-551-6555",
            "fax_number": "256-304-5456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SARAH",
        "middle_name": "MCKINLEY",
        "name_prefix": "Mrs.",
        "credential": "ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-11",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN218083",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "178617",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN218083",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "16718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.