AMANDA NYCOL JOHNSON CPNP NPI 1851060636

NPI Information

  • NPI: 1851060636
  • Provider Name: AMANDA NYCOL JOHNSON, CPNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5703 LACHMAN AVE NE
    ALBERTVILLE, MN
    ZIP 55301
  • Phone: (763) 284-1877

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NPI Details

Amanda Nycol Johnson, CPNP is a pediatrics nurse practitioner in Albertville, MN. Amanda Nycol Johnson, CPNP NPI is 1851060636. 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:

5703 LACHMAN AVE NE
ALBERTVILLE, MN
ZIP 55301-973
Phone: (763) 284-1877
Fax: (763) 205-5834

The NPI 1851060636 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 9/7/2021 and was last updated on 10/6/2025.

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
1363LP0200XNurse PractitionerPediatrics8495MINNESOTAYes
2363L00000XNurse Practitioner8495MINNESOTANo

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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