Dayle E Johnson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2004000194 Issued in MO

Practice address

105 Ridgecrest
Nixa, MO 65714-7807

Phone

(417) 725-8250

Fax

(417) 725-8253

NPI assigned

Oct 17, 2005

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

Credentials

Nurse Practitioner

Practice roles

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.

• North Springfield Family Medical Walk in Clinics Inc

  • Urgent Care Clinic/Center
  • Springfield, MO
  • NPI 1326019902
  NPD (past)
• Emergency Services, PA

  • Emergency Medicine Physician
  • Wichita, KS
  • NPI 1629028881
  NPD (past)
• Kansas Nephrology Physicians PA

  • Nephrology Physician
  • Wichita, KS
  • NPI 1093780454
  NPD (past)

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188950400000",
    "number": "1629067228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 RIDGECREST",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657147807",
            "telephone_number": "417-725-8250",
            "fax_number": "417-725-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 RIDGECREST",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657147807",
            "telephone_number": "417-725-8250",
            "fax_number": "417-725-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DAYLE",
        "middle_name": "E",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2007-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2004000194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alannah Jackson
• Amanda Jackson, CPNP
• JBF, LLC
• John M. Typaldos, P.T.
• Paula Johns
• Kellie Jean Johnson, NP-C
• Alexandra Anne Johnston
• Sara Brooks Jones
• Thomas E Jones, OD
• Stacy L. Kanagawa, DO

• Family Nurse Practitioner in Nixa, MO
• Providers in Nixa, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; 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.