Jacqueline Clare Patterson Johnson, ED.D, NP-C, CDE

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

332660 Issued in NY

Practice address

1423 Bedford Ave
Brooklyn, NY 11216-3840

Phone

(718) 773-0883

Fax

(718) 773-3728

NPI assigned

Aug 28, 2012

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)

Enrolled

State licenses

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1609124353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 E 54TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342423",
            "telephone_number": "718-444-4286",
            "fax_number": "718-444-4286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 BEDFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112163840",
            "telephone_number": "718-773-0883",
            "fax_number": "718-773-3728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON JOHNSON",
        "first_name": "JACQUELINE",
        "middle_name": "CLARE",
        "credential": "ED.D, NP-C, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "332660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yakub Sameerkhan Pattan, PT, MS.
• Sreya Pattanaik, MD
• Breindel Pattashnick
• Katherine Lynn Pattee, MD
• Anthony Michael Patten Jr., PA-C
• Denise Patterson Kerr
• Bentley Lorene Patterson, M.D.
• Carolyn Patterson
• Daisy Patterson
• Denielle Patterson, LMHC

• Family Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.