Individual provider Active NPI

Sharmaine Johnson, FNP-C

  • Family Nurse Practitioner
  • Monterey, CA
National Provider Identifier
1952777484
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95002889 Issued in CA
Practice address
473 Cabrillo St BLDG 422
Monterey, CA 93944-3201
Phone
(866) 957-2256
NPI assigned
Aug 19, 2015
Last updated
Nov 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95002889 CA Primary

Addresses

Primary practice location

473 Cabrillo St BLDG 422
Monterey, CA 93944-3201

Mailing address

473 Cabrillo St BLDG 422
Monterey, CA 93944-3201
Phone (866) 957-2256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20160311001814 CA Practitioner - Nurse Practitioner 0244536506 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95002889CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Coast Allergy and Asthma, a Medical Corporartion CurrentSince Feb 1, 2017 Accepting new patients
Salinas Allergy Clinic CurrentSince Feb 1, 2017 Accepting new patients
Central Coast Allergy and Asthma Current Accepting new patients

Locations

45 E San Joaquin St
Salinas, CA 93901
Phone (831) 424-3300

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1952777484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 CABRILLO ST BLDG 422",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939443201",
            "telephone_number": "866-957-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 CABRILLO ST BLDG 422",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939443201",
            "telephone_number": "866-957-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHARMAINE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95002889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.