Dana Michelle Johnson, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

1-035293 Issued in AL

Practice address

6701 Airport Blvd
Suite D-430
Mobile, AL 36608-6705

Phone

(251) 639-2101

Fax

(251) 639-9122

NPI assigned

Jul 2, 2010

Last updated

Aug 29, 2016By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dana.johnson@mobilegastro.ssdirect.aprima.com

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.

• Alabama Providence Healthcare Services

  dba Providence Medical Group

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1245669514
  Medicare reassignment NPD
• Alabama Providence Healthcare Services

  dba Ascension Providence Diabetes Management Program

  • Endocrinology, Diabetes & Metabolism Physician
  • Mobile, AL
  • NPI 1609446087
  NPD
• Providence Healthcare Services

  dba Providence Medical Group

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1508878083
  NPD

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

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472428800000",
    "number": "1619289915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD",
            "address_2": "SUITE D-430",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086705",
            "telephone_number": "251-639-2101",
            "fax_number": "251-639-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD",
            "address_2": "SUITE D-430",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086705",
            "telephone_number": "251-639-2101",
            "fax_number": "251-639-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DANA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-02",
        "last_updated": "2016-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-035293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126740",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "511-08436",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Johnson
• Charles E Johnson, M.D.
• Chiara Munya Johnson, MS, ALC, NCC
• Christopher Warren Johnson III, MD
• Christy Johnson, BCBA
• Debra Lynn Johnson, RT(T)
• Denesha Johnson, CRNP
• Donald E. Johnson, CRNA
• Eric Charles Johnson, M.D.
• Fred Thomas Johnson, DMD

• Adult Health Nurse Practitioner in Mobile, AL
• Providers in Mobile, AL by specialty
• Adult Health Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.