Individual provider Active NPI

Joyce M Johnson, MN, RN, CFNP

  • Family Nurse Practitioner
  • Pearl, MS
National Provider Identifier
1669804696
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F0512010 Issued in MS
Practice address
3794 Highway 468 W
Pearl, MS 39208-9008
Phone
(601) 932-2880
Fax
(601) 932-3984
NPI assigned
Aug 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F0512010 MS Primary

Addresses

Primary practice location

3794 Highway 468 W
Pearl, MS 39208-9008

Mailing address

3794 Highway 468 W
Pearl, MS 39208-9008
Phone (601) 932-2880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
F0512010MSMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: jjohnson33911@ummc.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1669804696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3794 HIGHWAY 468 W",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392089008",
            "telephone_number": "601-932-2880",
            "fax_number": "601-932-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3794 HIGHWAY 468 W",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392089008",
            "telephone_number": "601-932-2880",
            "fax_number": "601-932-3984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JOYCE",
        "middle_name": "M",
        "credential": "MN, RN, CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-01",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "F0512010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; 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.