Todd Richard Johnson, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

277003669 Issued in IL

Practice address

1109 S Lincoln Ave
Urbana, IL 61801-4703

Phone

(217) 333-7006

Fax

(217) 244-6495

NPI assigned

Feb 17, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1790176402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 S LINCOLN AVE",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618014703",
            "telephone_number": "217-333-7006",
            "fax_number": "217-244-6495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 S LINCOLN AVE",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618014703",
            "telephone_number": "217-333-7006",
            "fax_number": "217-244-6495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TODD",
        "middle_name": "RICHARD",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-17",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "277003669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark August Johnson, M.D.
• Patricia A Johnson, MD
• Philip B Johnson, M.D.
• Theresa Ann Johnson
• Timothy James Johnson, MD
• Victoria J Johnson, MD
• Janet A Jokela, M.D.
• Brittany Jones
• Ginny Jones
• Joanne M Jones

• Nurse Practitioner in Urbana, IL
• Providers in Urbana, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.

Verify at the official NPI Registry.