Olivia Lee Johnson, RN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95027393 Issued in CA

Practice address

347 E Barstow Ave Ste 102
Fresno, CA 93710-6039

Phone

(559) 550-4344

Fax

(559) 550-6011

NPI assigned

May 8, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dzung Trinh MD IncGroup PAC ID 8820429095, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Inhome Healthcare Services Home health agency, Fresno, CA, CCN 057214
• Valley Home Health Home health agency, Fresno, CA, CCN 059227
• Clovis Community Medical Center Hospital, Clovis, CA, CCN 050492

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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.

• Dzung Trinh, M.D., Inc.

  • Primary Care Clinic/Center
  • Fresno, CA
  • NPI 1366075640
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• BBT Health, LLC

  • Home Health Agency
  • Fresno, CA
  • NPI 1417956921
  Care Compare affiliation
• Fresno Community Hospital and Medical Center

  • General Acute Care Hospital
  • Clovis, CA
  • NPI 1316027709
  Care Compare affiliation
• Valley Medical Systems, Inc.

  • Home Health Agency
  • Fresno, CA
  • NPI 1952434185
  Care Compare affiliation

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1649969460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 E BARSTOW AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937106039",
            "telephone_number": "559-550-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 E BARSTOW AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937106039",
            "telephone_number": "559-550-4344",
            "fax_number": "559-550-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "OLIVIA",
        "middle_name": "LEE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "CA",
            "license": "95224230",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95027393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Logan James Johnson
• Mackenzie Walter Johnson
• Michelle Rene Johnson, MA
• Myrlande Johnson
• Olivia Johnson, PSYD
• Pamela Johnson, LCSW
• Quentina Olinthia Johnson
• Robert Wayne Johnson
• Romeo Kendall Johnson, MD
• Ryan C Johnson

• Family Nurse Practitioner in Fresno, CA
• Providers in Fresno, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.