Fredrick G. Johnson, C.R.N.F.A.

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

RN143974 Issued in AZ

Practice address

4320 E Presidio St
#101
Mesa, AZ 85215

Phone

(480) 706-9430

NPI assigned

May 11, 2011

Last updated

Apr 18, 2018By the provider in NPPES

Sex

Male

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1699067546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5155 E EAGLE DR",
            "address_2": "#20730",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852773031",
            "telephone_number": "480-229-7254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 E PRESIDIO ST",
            "address_2": "#101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85215",
            "telephone_number": "480-706-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "FREDRICK",
        "middle_name": "G.",
        "name_prefix": "Mr.",
        "credential": "C.R.N.F.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-11",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "AZ",
            "license": "RN143974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward E. Johnson, PA
• Emily Johnson, PT, DPT
• Emily Claire Johnson, PHARMD.
• Eric P Johnson, PAC
• Erik Adair Johnson
• Hebert Johnson
• Heidi Johnson
• Jedidiah Johnson, PA-C
• Jennifer Johnson, PHARMD
• John Johnson Jr.

• Registered Nurse First Assistant in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Registered Nurse First Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; 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.