Marcia Annette Johnson, CRNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

26NN083919 00 Issued in NJ

Practice address

Department of Veterans Affairs
BLD 5437 8TH Street
Fort Dix, NJ 08640

Phone

(609) 562-2999

NPI assigned

Aug 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952417263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 WHITE CHAPEL COURT",
            "city": "MT. LAUREL",
            "state": "NJ",
            "postal_code": "08054",
            "telephone_number": "856-802-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DEPARTMENT OF VETERANS AFFAIRS",
            "address_2": "BLD 5437 8TH STREET",
            "city": "FORT DIX",
            "state": "NJ",
            "postal_code": "08640",
            "telephone_number": "609-562-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARCIA",
        "middle_name": "ANNETTE",
        "name_prefix": "Miss",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NN083919 00",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent Depaul Hess, LPN
• Joy A Hoffman, PTA
• Bruce Wayne Holmes, PSY.D
• Joshua Evans Houseman, PSY.D.
• Dianne Jackson, NP
• Keller Army Community Hospital (Usadc West Point Mills)
• Keller Army Community Hospital (Mills Troop Clinic-Ft. Dix)
• Kristin Klacik, MA LCDC
• Li Wei Lin
• Marilyn A Mears, RN

• Primary Care Nurse Practitioner in Fort Dix, NJ
• Providers in Fort Dix, NJ by specialty
• Primary Care Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.