Shawna Johnston, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP-03115 Issued in NM

Practice address

7712 Calle Paraiso NE
Albuquerque, NM 87113-1273

Phone

(505) 727-8000

NPI assigned

May 11, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NM, VT2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Northeastern Vermont Regional Hospital, Inc

  dba NVRH EKG Group

  • Critical Access Hospital
  • St Johnsbury, VT
  • NPI 1174566541
  Medicare reassignment NPD
• Northeastern Vermont Regional Hospital, Inc

  • Critical Access Hospital
  • St Johnsbury, VT
  • NPI 1275576704
  Medicare reassignment NPD
• Northeastern Vermont Regional Hospital Inc

  dba NVRH Mental Health Group

  • Specialist
  • St Johnsbury, VT
  • NPI 1760773774
  NPD
• Northeastern Vermont Regional Hospital Inc.

  dba NVRH Podiatry Clinic

  • Podiatrist
  • St Johnsbury, VT
  • NPI 1710631635
  NPD
• Northeastern Vermont Regional Hospital, Inc

  dba NVRH Cardiology Group

  • Critical Access Hospital
  • St Johnsbury, VT
  • NPI 1013430511
  NPD
• Northeastern Vermont Regional Hospital, Inc

  dba NVRH Orthopedic Group

  • Critical Access Hospital
  • St Johnsbury, VT
  • NPI 1326081811
  NPD
• Northeastern Vermont Regional Hospital, Inc

  dba NVRH Neurology Clinic

  • Critical Access Hospital
  • St Johnsbury, VT
  • NPI 1548202690
  NPD

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517961600000",
    "number": "1982050795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26666",
            "address_2": "PHS PROVIDER ENROLLMENT",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871256666",
            "telephone_number": "505-923-6770",
            "fax_number": "505-923-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7712 CALLE PARAISO NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131273",
            "telephone_number": "505-727-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "SHAWNA",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-11",
        "last_updated": "2018-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "NM",
            "license": "R52938",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-03115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Johnston, PA-C
• Mark Phillip Johnston, NP
• Mary Johnston, DPT
• Pamela J Johnston
• Sandra Johnston
• Tessa J Johnston, MA, LPCC
• Tammy Jassmann Johnstone, PHARM D
• Charles Michael Joiner
• Lora Jane Joiner, OTR
• Whitney Joiner

• Family Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; 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.