Jessica Elaine Johnson, RN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

95205010 Issued in CA

Practice address

125 W Mission Ave
Ste. 103
Escondido, CA 92025-1720

Phone

(760) 747-3424

Fax

(760) 747-3435

NPI assigned

Aug 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1891988317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W MISSION AVE",
            "address_2": "STE. 103",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920251720",
            "telephone_number": "760-747-3424",
            "fax_number": "760-747-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W MISSION AVE",
            "address_2": "STE. 103",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920251720",
            "telephone_number": "760-747-3424",
            "fax_number": "760-747-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JESSICA",
        "middle_name": "ELAINE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN 226642",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95205010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Jimenez
• Rami Jirjis, MD
• Hyoung Jo
• John E Bokosky MD Facs
• Elizabeth D Johnson, ACSW
• Judy Johnson, LCSW
• Lerome Johnson
• Marlon Troy Johnson
• Paul Johnson, INTERN
• Peggy Johnson

• Psychiatric/Mental Health Registered Nurse in Escondido, CA
• Providers in Escondido, CA by specialty
• Psychiatric/Mental Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; 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.