MARY BETH JOHNSON CNP NPI 1063419471

NPI Information

  • NPI: 1063419471
  • Provider Name: MARY BETH JOHNSON, CNP
  • Classification: Nurse Practitioner - 363L00000X
  • Entity Type: Individual
  • Address: 401 E 8TH ST
    STE 230
    SIOUX FALLS, SD
    ZIP 57103
  • Phone: (605) 334-5099

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NPI Details

Mary Beth Johnson, CNP is a nurse practitioner in Sioux Falls, SD. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. Mary Beth Johnson, CNP NPI is 1063419471. 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:

401 E 8TH ST
STE 230
SIOUX FALLS, SD
ZIP 57103-011
Phone: (605) 334-5099
Fax: (605) 333-0245

The enumeration date for this NPI number is 6/30/2005 and was last updated on 5/27/2009.

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
1363L00000XNurse PractitionerCNP0203SOUTH DAKOTAYes

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
1420001803MEDICARE PINSOUTH DAKOTA
2S40900MEDICARE PINSOUTH DAKOTA
3S103252MEDICARE PINSOUTH DAKOTA
4S99176MEDICARE UPIN
56826094MEDICAIDSOUTH DAKOTA

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: 11/21/2025

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