Active NPI
Mary Anjeanette Johnson, RN
- Registered Nurse
- MC Gehee, AR
National Provider Identifier
1922084375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R72118
- Practice address
- 901 S 3Rd St
MC Gehee, AR 71654-2563 - Phone
- (870) 222-3805
- Fax
- (870) 222-3984
- NPI assigned
- Dec 19, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R72118 | AR | Primary |
Addresses
Primary practice location
901 S 3Rd St
MC Gehee, AR 71654-2563
Mailing address
14 Orlando St
MC Gehee, AR 71654-3218
Phone (870) 222-5910
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 |
|---|---|---|---|
| R72118 | AR | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1922084375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 ORLANDO ST",
"city": "MC GEHEE",
"state": "AR",
"postal_code": "716543218",
"telephone_number": "870-222-5910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 S 3RD ST",
"city": "MC GEHEE",
"state": "AR",
"postal_code": "716542563",
"telephone_number": "870-222-3805",
"fax_number": "870-222-3984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "MARY",
"middle_name": "ANJEANETTE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AR",
"license": "R72118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in MC Gehee, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.