Individual provider Active NPI

Salome E Johnson, DNP, APRN-CNP, PNPAC

  • Acute Care Nurse Practitioner
  • La Vista, NE
National Provider Identifier
1902521297
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
101250 Issued in NE
Practice address
10705 Hillcrest PLZ
La Vista, NE 68128-6703
Phone
(402) 955-8300
NPI assigned
Oct 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 101250 NE Primary

Addresses

Primary practice location

10705 Hillcrest PLZ
La Vista, NE 68128-6703

Mailing address

12210 S 111TH St
Papillion, NE 68046-5893
Phone (336) 469-7976

Other practice location 1

5904 Holly Ave NE
Albuquerque, NM 87113-2472
Phone (505) 298-2505

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
101250NEMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Physicians PastSince Dec 14, 2025 Accepting new patients
After Hours Pediatrics PC PastSince Oct 16, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sjohnson100883@direct.chsomaha.org

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": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1902521297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12210 S 111TH ST",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680465893",
            "telephone_number": "336-469-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10705 HILLCREST PLZ",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681286703",
            "telephone_number": "402-955-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5904 Holly Ave NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871132472",
            "country_code": "US",
            "telephone_number": "505-298-2505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SALOME",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN-CNP, PNPAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NE",
            "license": "101250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Vista, NE

Sources for this page

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