KIMBERLY DALE JOHNSON MD NPI 1316960032

NPI Information

NPI: 1316960032
Provider Name: KIMBERLY DALE JOHNSON, MD
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual
Address: 4820 EAST MAIN STREET
SJRMC URGENT CARE
FARMINGTON, NM
ZIP 87402
Phone: (505) 609-6495

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NPI Details

Kimberly Dale Johnson, MD is an emergency medicine in Farmington, NM. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Kimberly Dale Johnson, MD NPI is 1316960032. 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:

4820 EAST MAIN STREET
SJRMC URGENT CARE
FARMINGTON, NM
ZIP 87402
Phone: (505) 609-6495
Fax: (505) 609-6496

The enumeration date for this NPI number is 7/25/2006 and was last updated on 10/14/2012.

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	207P00000X	Emergency Medicine		32573	COLORADO	No
2	207P00000X	Emergency Medicine		MD2009-0511	NEW MEXICO	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
1	C804594	MEDICARE PIN	COLORADO
2	E70244	MEDICARE UPIN
3	01325737	MEDICAID	COLORADO
4	K5584	MEDICAID	NEW MEXICO

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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