Active NPI
Maryjane Dowd Johnson, APRN
- Nurse Practitioner
- Durham, NC
National Provider Identifier
1699496422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5025564
- Practice address
- 2609 N Duke St Ste 604
Durham, NC 27704-3048 - Phone
- (866) 284-8788
- NPI assigned
- Sep 9, 2022
- Last updated
- Sep 28, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 83410 | KS | |
| Primary Care Nurse Practitioner | 363LP2300X | C-APN.0004133-C-NP | CO | |
| Nurse Practitioner | 363L00000X | 231765 | LA | |
| Nurse Practitioner | 363L00000X | 5025564 | NC | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | C-APN.0004133-C-NP | CO | |
| Gerontology Nurse Practitioner | 363LG0600X | C-APN.0004133-C-NP | CO |
Addresses
Primary practice location
2609 N Duke St Ste 604
Durham, NC 27704-3048
Mailing address
222 S Riverside PLZ Ste 2120
Chicago, IL 60606-6101
Phone (480) 308-2167
Other practice location 1
3691 Parker Blvd Ste 101
Pueblo, CO 81008-2278
Phone (206) 452-7536
Other practice location 2
212 Pecan Park Ave
Alexandria, LA 71303-3363
Phone (866) 284-8788
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83410 | KS | MD | Nurse Practitioner |
| 231765 | LA | MD | Nurse Practitioner |
| 5025564 | NC | MD | Nurse Practitioner |
| C-APN.0004133-C-NP | CO | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790553600000",
"number": "1699496422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 S RIVERSIDE PLZ STE 2120",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606066101",
"telephone_number": "480-308-2167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2609 N DUKE ST STE 604",
"city": "DURHAM",
"state": "NC",
"postal_code": "277043048",
"telephone_number": "866-284-8788"
}
],
"practiceLocations": [
{
"address_1": "3691 Parker Blvd Ste 101",
"address_purpose": "LOCATION",
"city": "Pueblo",
"state": "CO",
"postal_code": "810082278",
"country_code": "US",
"telephone_number": "206-452-7536",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "212 Pecan Park Ave",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "LA",
"postal_code": "713033363",
"country_code": "US",
"telephone_number": "866-284-8788",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "MARYJANE",
"middle_name": "DOWD",
"name_prefix": "Dr.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-09",
"last_updated": "2026-09-28",
"certification_date": "2026-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KS",
"license": "83410",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "CO",
"license": "C-APN.0004133-C-NP",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "LA",
"license": "231765",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5025564",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CO",
"license": "C-APN.0004133-C-NP",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CO",
"license": "C-APN.0004133-C-NP",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.