JORDIN R JOHNSON NP NPI 1265192983

NPI Information

  • NPI: 1265192983
  • Provider Name: JORDIN R JOHNSON, NP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2204 S DOBSON RD STE 102
    MESA, AZ
    ZIP 85202
  • Phone: (602) 230-7373

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NPI Details

Jordin R Johnson, NP is a psychiatric/mental health nurse practitioner in Mesa, AZ with 9 years of experience. Jordin R Johnson, NP NPI is 1265192983. 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:

2204 S DOBSON RD STE 102
MESA, AZ
ZIP 85202-457
Phone: (602) 230-7373
Fax: (480) 628-8577

The NPI 1265192983 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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Psychiatric diagnostic evaluation with medical services (HCPCS:90792)

The enumeration date for this NPI number is 12/21/2021 and was last updated on 1/19/2024.

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
1363LP0808XNurse PractitionerPsychiatric/Mental Health268112ARIZONAYes
2363LP0808XNurse PractitionerPsychiatric/Mental HealthAP61439900WASHINGTONNo

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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