Individual provider Active NPI

Amber Renee Johnson, APRN, FNP

  • Nurse Practitioner
  • Surf City, NC
National Provider Identifier
1801569413
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5014359 Issued in NC
Practice address
13460 NC Highway 50 Ste 104
Surf City, NC 28445-6532
Phone
(910) 581-9136
NPI assigned
Jul 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5014359 NC Primary

Addresses

Primary practice location

13460 NC Highway 50 Ste 104
Surf City, NC 28445-6532

Mailing address

13460 NC Highway 50 Ste 104
Surf City, NC 28445-6532
Phone (910) 581-9136

Other practice location 1

200 Cape Fear Cir Ste 3
Sneads Ferry, NC 28460-9192
Phone (910) 581-9136

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
5014359NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Holly Ridge Chiropractic & Auto Injury CurrentSince Oct 1, 2022 Accepting new patients
Holly Ridge Healthcare PA CurrentSince Oct 1, 2022 Accepting new patients

Locations

119 Holly St
Holly Ridge, NC 28445
Phone (910) 329-1707

Interoperability endpoints

  • Direct secure messaging: amber.johnson.1@2160.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/2160/brand/42/csg/81/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/2160/brand/41/csg/42/fhir/r4

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1801569413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13460 NC HIGHWAY 50 STE 104",
            "city": "SURF CITY",
            "state": "NC",
            "postal_code": "284456532",
            "telephone_number": "910-581-9136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13460 NC HIGHWAY 50 STE 104",
            "city": "SURF CITY",
            "state": "NC",
            "postal_code": "284456532",
            "telephone_number": "910-581-9136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Cape Fear Cir Ste 3",
            "address_purpose": "LOCATION",
            "city": "Sneads Ferry",
            "state": "NC",
            "postal_code": "284609192",
            "country_code": "US",
            "telephone_number": "910-581-9136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AMBER",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-29",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5014359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surf City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.