Active NPI
Anthony Lee Johnston, RN
- Wound Care Registered Nurse
- Omaha, NE
National Provider Identifier
1912784109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Wound Care Registered Nurse
- License
- 101635
- Practice address
- 4350 Dewey Ave
Omaha, NE 68105-1017 - Phone
- (402) 552-2490
- Fax
- (402) 552-2471
- NPI assigned
- Sep 11, 2023
- Last updated
- Oct 25, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 101635 | NE | |
| Wound Care Registered Nurse | 163WW0000X | 101635 | NE | Primary |
Addresses
Primary practice location
4350 Dewey Ave
Omaha, NE 68105-1017
Mailing address
987400 Nebraska Medical Ctr
Attn: Hbo
Omaha, NE 68198-7400
Phone (402) 552-2490
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0198077 | CO | MD | Wound Care Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792886400000",
"number": "1912784109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "987400 NEBRASKA MEDICAL CTR",
"address_2": "ATTN: HBO",
"city": "OMAHA",
"state": "NE",
"postal_code": "681987400",
"telephone_number": "402-552-2490",
"fax_number": "402-552-2471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4350 DEWEY AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681051017",
"telephone_number": "402-552-2490",
"fax_number": "402-552-2471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "ANTHONY",
"middle_name": "LEE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-11",
"last_updated": "2026-10-25",
"certification_date": "2026-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NE",
"license": "101635",
"primary": false
},
{
"code": "163WW0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Wound Care",
"state": "NE",
"license": "101635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.