Individual provider Active NPI

Maryjane Dowd Johnson, APRN

  • Nurse Practitioner
  • Durham, NC
National Provider Identifier
1699496422
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5025564 Issued in NC
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
83410KSMDNurse Practitioner
231765LAMDNurse Practitioner
5025564NCMDNurse Practitioner
C-APN.0004133-C-NPCOMDPrimary 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.

Verify at the official NPI Registry.