HEATHER NICOLE JOHNSON CNP NPI 1316633233

NPI Information

  • NPI: 1316633233
  • Provider Name: HEATHER NICOLE JOHNSON, CNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 500 S MAPLE ST
    WACONIA, MN
    ZIP 55387
  • Phone: (952) 556-2600

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NPI Details

Heather Nicole Johnson, CNP is a family nurse practitioner in Waconia, MN with 15 years of experience. Heather Nicole Johnson, CNP NPI is 1316633233. 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:

500 S MAPLE ST
WACONIA, MN
ZIP 55387-791
Phone: (952) 556-2600
Fax: (952) 556-2601

The NPI 1316633233 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 4/13/2023 and was last updated on 4/13/2023.

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
1163WW0000XRegistered NurseWound Care2086792MINNESOTANo
2163WX1500XRegistered NurseOstomy Care2086792MINNESOTANo
3363LF0000XNurse PractitionerFamily10137MINNESOTAYes

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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