Active NPI
E. Holly Nelson-Johnson, MSN, APN, FNP-BC
- Family Nurse Practitioner
- Wilmette, IL
National Provider Identifier
1679801138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209000605
- Practice address
- 1808 Wilmette Ave
Wilmette, IL 60091-2429 - Phone
- (847) 840-0708
- NPI assigned
- Nov 20, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209000605 | IL | Primary |
Addresses
Primary practice location
1808 Wilmette Ave
Wilmette, IL 60091-2429
Mailing address
1808 Wilmette Ave
Wilmette, IL 60091-2429
Phone (847) 840-0708
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
- Master of Science - Nursing
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317772800000",
"number": "1679801138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1808 WILMETTE AVE",
"city": "WILMETTE",
"state": "IL",
"postal_code": "600912429",
"telephone_number": "847-840-0708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1808 WILMETTE AVE",
"city": "WILMETTE",
"state": "IL",
"postal_code": "600912429",
"telephone_number": "847-840-0708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON-JOHNSON",
"first_name": "E. HOLLY",
"credential": "MSN, APN, FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-20",
"last_updated": "2011-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209000605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmette, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.