Active NPI
Branden Emanuel Johnson, MEDICATION AIDE 40HR
- Preferred Provider Organization
- Lincoln, NE
National Provider Identifier
1699566448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- License
- 26362
- Practice address
- 829 W Sumner St
Lincoln, NE 68522-1640 - Phone
- (531) 220-1919
- Fax
- (531) 220-1919
- NPI assigned
- May 13, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | 26362 | NE | Primary |
Addresses
Primary practice location
829 W Sumner St
Lincoln, NE 68522-1640
Mailing address
829 W Sumner St
Lincoln, NE 68522-1640
Phone (531) 220-1919
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 |
|---|---|---|---|
| 26362 | NE | MD | Preferred Provider Organization |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747094400000",
"number": "1699566448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "829 W SUMNER ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685221640",
"telephone_number": "531-220-1919",
"fax_number": "531-220-1919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "829 W SUMNER ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685221640",
"telephone_number": "531-220-1919",
"fax_number": "531-220-1919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "BRANDEN",
"middle_name": "EMANUEL",
"credential": "MEDICATION AIDE 40HR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-05-13",
"last_updated": "2025-05-13",
"certification_date": "2025-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "NE",
"license": "26362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.