Provider Type Icon

MS. CYNTHIA ELAINE JOHNSON FNP NPI 1154816700


NPI Information

NPI: 1154816700
Provider Name: MS. CYNTHIA ELAINE JOHNSON, FNP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Organization: WASHINGTON UNIVERSITY

PECOS Registration: Yes

Address:
11133 DUNN RD
DEPT ANESTHESIOLOGY
SAINT LOUIS, MO
ZIP 63136
Phone: (800) 862-9980
Get Directions

MS. Cynthia Elaine Johnson, FNP is an acute care nurse practitioner in Saint Louis, MO with 7 years of experience. MS. Cynthia Elaine Johnson, FNP NPI is 1154816700. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Graduation Year:2017

The provider's business location address is:

11133 DUNN RD
DEPT ANESTHESIOLOGY
SAINT LOUIS, MO
ZIP 63136-163
Phone: (800) 862-9980
Fax: (314) 362-1185

The NPI 1154816700 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 6/26/2018 and was last updated on 11/15/2021.


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
1363LA2100XNurse PractitionerAcute Care2018006692MISSOURIYes

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
1420056116MEDICAIDMISSOURI

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

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.