NPIMap

Individual provider Active NPI

David A Johnson, NP

  • Family Nurse Practitioner
  • Corydon, IN
National Provider Identifier
1750788360
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71005336A Issued in IN
Practice address
2086 Old Highway 135 NW
Corydon, IN 47112-4014
Phone
(812) 734-0303
Fax
(812) 225-5145
NPI assigned
Nov 25, 2014
Last updated
Dec 6, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71005336A IN Primary
Family Nurse Practitioner 363LF0000X 3009066 KY

Addresses

Primary practice location

2086 Old Highway 135 NW
Corydon, IN 47112-4014

Mailing address

2086 Old Highway 135 NW
Corydon, IN 47112-4014
Phone (812) 734-0303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150309002520 IN Practitioner - Nurse Practitioner 8426374448 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harrison County HospitalGroup PAC ID 9032007208, 45 clinicians

Practice addresses (Care Compare)

1995 Edsel LN NW
After Hours Care
Corydon, IN 47112-3008
Phone (812) 738-1899

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Little Clinic of in LLC Family CurrentSince Aug 1, 2021 Accepting new patients
Harrison County Hospital CurrentSince Oct 1, 2021 Accepting new patients
Harrison County Hospital CurrentSince Oct 1, 2021 Accepting new patients
Harrison County Chiropractic PC PastSince Dec 13, 2020 Accepting new patients
Harrison County Hospital Family Past Accepting new patients
Commonwealth Community Care Centers, LLC Family PastSince Aug 27, 2018 Accepting new patients
Harrison County Hospital Family Past Accepting new patients
Harrison County Hospital Family Past Accepting new patients
Harrison County Hospital Past Accepting new patients
Unbound Treatment, Inc. PastSince Feb 21, 2021 Accepting new patients

Locations

305 E Lewis and Clark Pkwy
Clarksville, IN 47129
Phone (812) 283-3630

1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830

1263 Hospital Dr NW
Ste 200
Corydon, IN 47112
Phone (812) 734-3737

1263 Hospital Dr NW
Ste 250
Corydon, IN 47112
Phone (812) 738-4915

1995 Edsel Ln NW
Corydon, IN 47112
Phone (812) 738-1889

815 Highlander Point Dr
Floyds Knobs, IN 47119
Phone (812) 923-7146

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1750788360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2086 OLD HIGHWAY 135 NW",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471124014",
            "telephone_number": "812-734-0303",
            "fax_number": "812-225-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2086 OLD HIGHWAY 135 NW",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471124014",
            "telephone_number": "812-734-0303",
            "fax_number": "812-225-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-25",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71005336A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009066",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corydon, IN

Sources for this page

Verify at the official NPI Registry.