NPIMap

Individual provider Active NPI

Daniel Blair Johnson, NP-C

  • Nurse Practitioner
  • Altoona, PA
National Provider Identifier
1811448426
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP016671 Issued in PA
Practice address
1304 7TH St
Altoona, PA 16601-4703
Phone
(814) 626-9716
Fax
(814) 260-4151
NPI assigned
Oct 18, 2016
Last updated
Dec 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP016671 PA Primary
Adult Health Nurse Practitioner 363LA2200X SP016671 PA
Gerontology Nurse Practitioner 363LG0600X SP016671 PA

Addresses

Primary practice location

1304 7TH St
Altoona, PA 16601-4703

Mailing address

1304 7TH St
Altoona, PA 16601-4703
Phone (814) 626-9716

Other practice location 1

1304 7th St Ste B-3
Altoona, PA 16601-4703
Phone (814) 204-3080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20170406000041 PA Practitioner - Nurse Practitioner 6406132430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Medical Care of Altoona LLCGroup PAC ID 3173013042, 3 clinicians

Practice addresses (Care Compare)

1304 7TH St
Altoona, PA 16601-4703
Phone (814) 626-9716

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP016671PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Care of Altoona LLC CurrentSince Jan 5, 2026 Accepting new patients
J C Blair Memorial Hospital Current Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1304 7th St
Altoona, PA 16601
Phone (814) 626-9716

1304 7th St
Ste B3
Altoona, PA 16601
Phone (901) 603-6113

1225 Warm Springs Ave
Huntingdon, PA 16652
Phone (814) 643-8206

Interoperability endpoints

  • Direct secure messaging: djohnson@tyronespecialties.medentdirect.com

Organizations & group practices 3

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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1811448426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 7TH ST",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014703",
            "telephone_number": "814-626-9716",
            "fax_number": "814-260-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 7TH ST",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014703",
            "telephone_number": "814-626-9716",
            "fax_number": "814-260-4151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1304 7th St Ste B-3",
            "address_purpose": "LOCATION",
            "city": "Altoona",
            "state": "PA",
            "postal_code": "166014703",
            "country_code": "US",
            "telephone_number": "814-204-3080",
            "fax_number": "814-204-3086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DANIEL",
        "middle_name": "BLAIR",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-18",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP016671",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP016671",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP016671",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.