Individual provider Active NPI

Holly Johnson, WHNP

  • Women's Health Nurse Practitioner
  • San Mateo, CA
National Provider Identifier
1881070902
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
AP128668 Issued in TX
Practice address
951 Mariners Island Blvd Ste 300
San Mateo, CA 94404-1560
Phone
(772) 217-4557
Fax
(888) 352-7383
NPI assigned
Jul 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X AP128668 TX Primary

Addresses

Primary practice location

951 Mariners Island Blvd Ste 300
San Mateo, CA 94404-1560

Mailing address

9164 Hey Jude LN E
Amarillo, TX 79119-9843
Phone (806) 676-0541

Other practice location 1

601 Abbot Rd
East Lansing, MI 48823-3366
Phone (772) 217-4557

Other practice location 2

8040 Excelsior Dr Ste 400
Madison, WI 53717-2915
Phone (772) 217-4557

Other practice location 3

100 N Main St Ste 2
Barre, VT 05641-4150
Phone (772) 217-4557

Other practice location 4

10300 Greenbriar Pl
Oklahoma City, OK 73159-7653
Phone (772) 217-4557

Other practice location 5

80 State St
Albany, NY 12207-2541
Phone (772) 217-4557

Other practice location 6

Princeton South Corporate Ctr Suite 160
100 Charles Ewing Blvd
Ewing, NJ 08628
Phone (772) 217-4557

Other practice location 7

505 5th Ave Ste 729
Des Moines, IA 50309-2318
Phone (772) 217-4557

Other practice location 8

211 E 7th St Ste 620
Austin, TX 78701-3218
Phone (772) 217-4557

Other practice location 9

1 Medical Dr
Amarillo, TX 79106-4137
Phone (806) 322-3599

Other practice location 10

233 S 13th St Ste 1900
Lincoln, NE 68508-2000
Phone (772) 217-4557

Other practice location 11

1201 Hays St
Tallahassee, FL 32301-2699
Phone (772) 217-4557

Other practice location 12

1900 W Littleton Blvd
Littleton, CO 80120-2023
Phone (772) 217-4557

Other practice location 13

421 W Main St
Frankfort, KY 40601-1815
Phone (772) 217-4557

Other practice location 14

7 Saint Paul St Ste 820
Baltimore, MD 21202-1681
Phone (772) 217-4557

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP128668TXMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cloud Health Medical Group, P.a. Past Accepting new patients
Cloud Health Medical Group of California, P.C. Past Accepting new patients

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": "1438300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1881070902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9164 HEY JUDE LN E",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791199843",
            "telephone_number": "806-676-0541",
            "fax_number": "806-372-5237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 MARINERS ISLAND BLVD STE 300",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944041560",
            "telephone_number": "772-217-4557",
            "fax_number": "888-352-7383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Abbot Rd",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488233366",
            "country_code": "US",
            "telephone_number": "772-217-4557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8040 Excelsior Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537172915",
            "country_code": "US",
            "telephone_number": "772-217-4557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 N Main St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Barre",
            "state": "VT",
            "postal_code": "056414150",
            "country_code": "US",
            "telephone_number": "772-217-4557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10300 Greenbriar Pl",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731597653",
            "country_code": "US",
            "telephone_number": "772-217-4557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 State St",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122072541",
            "country_code": "US",
            "telephone_number": "772-217-4557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Princeton South Corporate Ctr Suite 160",
            "address_2": "100 Charles Ewing Blvd",
            "address_purpose": "LOCATION",
            "city": "Ewing",
            "state": "NJ",
            "postal_code": "08628",
            "country_code": "US",
            "telephone_number": "772-217-4557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 5th Ave Ste 729",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503092318",
            "country_code": "US",
            "telephone_number": "772-217-4557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 E 7th St Ste 620",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787013218",
            "country_code": "US",
            "telephone_number": "772-217-4557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791064137",
            "country_code": "US",
            "telephone_number": "806-322-3599",
            "fax_number": "806-372-5237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "233 S 13th St Ste 1900",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685082000",
            "country_code": "US",
            "telephone_number": "772-217-4557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Hays St",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323012699",
            "country_code": "US",
            "telephone_number": "772-217-4557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 W Littleton Blvd",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801202023",
            "country_code": "US",
            "telephone_number": "772-217-4557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "421 W Main St",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "KY",
            "postal_code": "406011815",
            "country_code": "US",
            "telephone_number": "772-217-4557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 Saint Paul St Ste 820",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212021681",
            "country_code": "US",
            "telephone_number": "772-217-4557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "HOLLY",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-31",
        "last_updated": "2022-03-08",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "AP128668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.