Individual provider Active NPI

Whitney Johnson, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Gosnell, AR
National Provider Identifier
1780966127
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
216739 Issued in AR
Practice address
597 N State Highway 181
Gosnell, AR 72315-5905
Phone
(501) 642-0300
NPI assigned
Sep 12, 2011
Last updated
Mar 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2019039813 MO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 216739 AR Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X R085765 AR

Addresses

Primary practice location

597 N State Highway 181
Gosnell, AR 72315-5905

Mailing address

597 N State Highway 181
Gosnell, AR 72315-5905
Phone (870) 532-7879

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210814000315 AR Practitioner - Nurse Practitioner 4981936382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

597 N State Hwy 181
Gosnell, AR 72315-5905
Phone (501) 642-0300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R085765ARMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Cognitive Care LLC Psychiatric/Mental Health CurrentSince Apr 22, 2024 Accepting new patients
Baxter County Regional Hospital, Inc CurrentSince Aug 1, 2021 Accepting new patients
Baxter County Regional Hospital, Inc CurrentSince Aug 1, 2021 Accepting new patients
Baxter County Regional Hospital, Inc. Current Accepting new patients

Locations

597 N State Highway 181
Gosnell, AR 72315
Phone (501) 642-0300

555 W 6th St
Mountain Home, AR 72653
Phone (870) 425-1787

624 Hospital Dr
Mountain Home, AR 72653
Phone (870) 424-1000

624 Hospital Dr
#6S
Mountain Home, AR 72653
Phone (870) 421-6023

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1780966127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "597 N STATE HIGHWAY 181",
            "city": "GOSNELL",
            "state": "AR",
            "postal_code": "723155905",
            "telephone_number": "870-532-7879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "597 N STATE HIGHWAY 181",
            "city": "GOSNELL",
            "state": "AR",
            "postal_code": "723155905",
            "telephone_number": "501-642-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "WHITNEY",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-12",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2019039813",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "216739",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "AR",
            "license": "R085765",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gosnell, AR

Sources for this page

Verify at the official NPI Registry.