Diana Marie Johnson, RN, QMRP, CHSP

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

087000178RN Issued in OR

Practice address

495 S 16TH St
Cottage Grove, OR 97424-2339

Phone

(541) 767-3693

Fax

(541) 767-3693

NPI assigned

Sep 21, 2011

Sex

Female

Sole proprietor

Yes

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": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316563200000",
    "number": "1598048167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 S 16TH ST",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974242339",
            "telephone_number": "541-767-3693",
            "fax_number": "541-767-3693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 S 16TH ST",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974242339",
            "telephone_number": "541-767-3693",
            "fax_number": "541-767-3693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DIANA",
        "middle_name": "MARIE",
        "credential": "RN, QMRP, CHSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "OR",
            "license": "087000178RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Arthur Jackson, M.D.
• Keisha Janney
• Shaunna Jennings, RDH
• Pearl Ann Jobe, PMHNP
• Kimber Leigh Johns
• Nikki Kahoilua, CPHT
• Christina M Karcher, PT, OCS
• Susan Kauffman
• Kathryn R Kemp, MSW
• Susan Kemp

• Community Health Registered Nurse in Cottage Grove, OR
• Providers in Cottage Grove, OR by specialty
• Community Health Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; 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.