MARY JOHNSTON CNP NPI 1629039821

NPI Information

NPI: 1629039821
Provider Name: MARY JOHNSTON, CNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
701 PARK AVE
MINNEAPOLIS, MN
ZIP 55415
Phone: (612) 873-6005
Get Directions

Mary Johnston, CNP is a family nurse practitioner in Minneapolis, MN with 22 years of experience. Mary Johnston, CNP NPI is 1629039821. 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:

701 PARK AVE
MINNEAPOLIS, MN
ZIP 55415-623
Phone: (612) 873-6005

The NPI 1629039821 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 3/29/2006 and was last updated on 1/25/2016.

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	363LF0000X	Nurse Practitioner	Family	R132394-8	MINNESOTA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	H32961	MEDICARE UPIN	MINNESOTA
2	233677400	MEDICAID	MINNESOTA
3	NA9021032953	OTHER	MINNESOTA	PREFERRED ONE
4	HP32961	OTHER	MINNESOTA	HEALTH PARTNERS
5	01-73347	OTHER	MINNESOTA	MEDICA
6	171175	OTHER	MINNESOTA	UCARE
7	209K1JO	OTHER	MINNESOTA	BCBS

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

NPI Synchronization or Removal

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