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NICOLE LYNN JOHNSON CFNP NPI 1578951240


NPI Information

NPI: 1578951240
Provider Name: NICOLE LYNN JOHNSON, CFNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
15476 DEDEAUX RD
GULFPORT, MS
ZIP 39503
Phone: (228) 230-2663
Get Directions

Nicole Lynn Johnson, CFNP is a family nurse practitioner in Gulfport, MS with 10 years of experience. Nicole Lynn Johnson, CFNP NPI is 1578951240. 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:

15476 DEDEAUX RD
GULFPORT, MS
ZIP 39503-637
Phone: (228) 230-2663
Fax: (228) 679-3038

The NPI 1578951240 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Fusion of spine bones, posterior or posterolateral approach (HCPCS:22614)
  • Insertion of device into intervertebral disc space of spine and fusion of vertebrae (HCPCS:22853)
  • Partial removal of spine bone with release of spinal cord and/or nerves (HCPCS:63048)
  • Partial removal of middle spine bone with release of spinal cord and/or nerves (HCPCS:63047)
  • Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments (HCPCS:22842)

The enumeration date for this NPI number is 1/5/2015 and was last updated on 4/19/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163W00000XRegistered NurseR878829MISSISSIPPINo
2363LF0000XNurse PractitionerFamilyR878829MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
105855337MEDICAIDMISSISSIPPI
2413764YQAHMEDICARE PINMISSISSIPPI

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.