Audrey Fay Johnson, RN

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

123120030 Issued in WI

Practice address

8901 W Lincoln Ave
Diabetes Ed
West Allis, WI 53227-2409

Phone

(414) 328-6193

Fax

(414) 328-6210

NPI assigned

Jul 14, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245110400000",
    "number": "1942464516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 W. LINCOLN AVE",
            "address_2": "DIABETES ED",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "53227",
            "telephone_number": "414-328-6193",
            "fax_number": "414-328-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 W LINCOLN AVE",
            "address_2": "DIABETES ED",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272409",
            "telephone_number": "414-328-6193",
            "fax_number": "414-328-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AUDREY",
        "middle_name": "FAY",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-14",
        "last_updated": "2009-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "WI",
            "license": "123120030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JJS Smiles, S.C.
• JK Consulting, LLC
• Martin Joepeck, D.C.
• John E. Daniels MD SC
• Barbara Jean Johnson Farmer, APNP, FNP, PHD
• Elizabeth Johnson
• Michael A Johnson, MD
• Susan Marie Johnson, RN
• Deborah Ann Jonas, OTA
• Janice A Jones-Calvert, SAC-IT

• Diabetes Educator Registered Nurse in West Allis, WI
• Providers in West Allis, WI by specialty
• Diabetes Educator Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.