NATHAN PATRICK JOHNSON PMHNP-BC NPI 1952754442

NPI Information

  • NPI: 1952754442
  • Provider Name: NATHAN PATRICK JOHNSON, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4035 12TH ST CUTOFF SE STE 120
    SALEM, OR
    ZIP 97302
  • Phone: (971) 304-9306

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NPI Details

Nathan Patrick Johnson, PMHNP-BC is a psychiatric/mental health nurse practitioner in Salem, OR with 9 years of experience. Nathan Patrick Johnson, PMHNP-BC NPI is 1952754442. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4035 12TH ST CUTOFF SE STE 120
SALEM, OR
ZIP 97302
Phone: (971) 304-9306
Fax: (503) 926-6624

The NPI 1952754442 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 7/19/2016 and was last updated on 7/25/2019.

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
1163W00000XRegistered Nurse209338TENNESSEENo
2163WP0808XRegistered NursePsychiatric/Mental Health201701389RNOREGONNo
32084P0800XPsychiatry & NeurologyPsychiatry201701390NPPPOREGONNo
4363LP0808XNurse PractitionerPsychiatric/Mental Health201701390NP-PPOREGONYes
5363LP0808XNurse PractitionerPsychiatric/Mental Health0000022011TENNESSEENo

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 Other Provider Identifier Issuer
11952754442OTHEROREGONPECO, NPPES

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: 3/30/2025

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