CHERALYN JOHNSON FNP-BC IA NPI 1568871549

NPI Information

NPI: 1568871549
Provider Name: CHERALYN JOHNSON, FNP-BC, IA
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: SOUTH BOSTON COMMUNITY HEALTH CENTER INC

PECOS Registration: Yes

Address:
409 W BROADWAY
BOSTON, MA
ZIP 02127
Phone: (617) 269-7500
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Cheralyn Johnson, FNP-BC, IA is a family nurse practitioner in Boston, MA with 10 years of experience. Cheralyn Johnson, FNP-BC, IA NPI is 1568871549. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

409 W BROADWAY
BOSTON, MA
ZIP 02127-245
Phone: (617) 269-7500

The NPI 1568871549 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/4/2014 and was last updated on 9/10/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		RN2272256	MASSACHUSETTS	No
2	363LF0000X	Nurse Practitioner	Family	RN2272256	MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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