EDALYN KAY JOHNSON


Address: 4550 Eubank Blvd Ne, Suite 105, Albuquerque, NM 87111-3479
Phone: 5052961120

EDALYN KAY JOHNSON (NPI# 1710935200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710935200
Entity Type Individual
Full Name EDALYN KAY JOHNSON
Credential CNP
Practice Address 4550 Eubank Blvd Ne
Suite 105
Albuquerque
NM 87111-3479
Practice Telephone 5052961120
Practice Fax Number 5052961121
Mailing Telephone 5052961120
Mailing Fax Number 5052961121
Enumeration Date 2006-05-05
Last Update Date 2008-05-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse R17788 NM Nursing Service Providers
Y 363L00000X Nurse Practitioner R17788 NM Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NM TRIWEST 743032990 01

Office Location

Street Address 4550 EUBANK BLVD NE
SUITE 105
City ALBUQUERQUE
State NM
Zip Code 87111-3479

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821097544 Mark Leon Schwartz Chiropractor 4550 Eubank Blvd Ne, Suite 107, Albuquerque, NM 87111-3479 2005-07-14
1396085239 Mcr Enterprises, Lp Naturopath 4550 Eubank Blvd Ne, Suite 105, Albuquerque, NM 87111-3479 2013-02-28
1194069914 Sandia Integrative Health LLC Clinic/Center 4550 Eubank Blvd Ne, Suite 205, Albuquerque, NM 87111-3479 2012-11-16
1104124080 W Gregory Rose Dds Pa Durable Medical Equipment & Medical Supplies 4550 Eubank Blvd Ne, Suite 201, Albuquerque, NM 87111-2565 2011-03-02
1659606101 Mcr Enterprises Acupuncturist 4550 Eubank Blvd Ne, Suite 105, Albuquerque, NM 87111-3479 2009-10-15
1346408358 Joseph Hampton Bowers Dentist 4550 Eubank Blvd Ne, Suite 207, Albuquerque, NM 87111-3479 2008-05-27
1760657126 Brenda Mae Macgeorge Burns Acupuncturist 4550 Eubank Blvd Ne, Albuquerque, NM 87111-3479 2008-04-28
1467638478 Mark L. Schwartz, Dc PC Chiropractor 4550 Eubank Blvd Ne, Suite 107, Albuquerque, NM 87111-3479 2008-01-21
1295915346 Natural Womens Health LLC Clinic/Center 4550 Eubank Blvd Ne, Ste 105, Albuquerque, NM 87111-3479 2007-11-06
1932278447 William Gregory Rose Dentist 4550 Eubank Blvd Ne, Suite 201, Albuquerque, NM 87111-3479 2006-11-07
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417438110 Dehlen LLC Counselor 11000 Spain Rd Ne, Building E, Albuquerque, NM 87111 2018-08-22
1003313008 Jessika Junick Nurse Practitioner 3825 Eubank Blvd Ne Ste A, Albuquerque, NM 87111 2018-04-07
1881113454 Hayley Aragon-bell Day Training/Habilitation Specialist 3732 Mount Rainier Dr. Ne, Albuquerque, NM 87111 2017-09-14
1750803326 Sarah Mckenzie Ochoa Day Training/Habilitation Specialist 3916 Garcia St Ne, Albuquerque, NM 87111 2017-07-14
1285179549 Family Dental Health Care Dentist 4550 Eubank Blvd, Suite 203, Albuquerque, NM 87111 2016-12-22
1871036202 Shobha Jagannath Nurse Practitioner 10700 Academy Rd Ne Apt 216, Albuquerque, NM 87111 2016-12-03
1508319310 Mariana Boitano Licensed Practical Nurse 5400 Gibson Blvd., Albuquerque, NM 87111 2016-07-28
1184011082 Adam Halpern Specialist/Technologist 4204 Parsifal St, Albuquerque, NM 87111 2015-04-20
1083015770 Cvs Pharmacy Public Health or Welfare 5516 Camino Arbustos Ne, Albuquerque, NM 87111 2014-09-12
1508276973 Stephanie Gonzales Physician Assistant 12241 Academy Rd Ne Ste 204, Albuquerque, NM 87111 2014-05-06
Find all providers in zip 87111

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720606882 Mountain Desert Health LLC Nurse Practitioner 2200 Panola St Sw, Albuquerque, NM 87121-2582 2020-07-06
1912538844 Lorine Derusha Nurse Practitioner 625 Silver Ave Sw Fl 2, Albuquerque, NM 87102-3123 2020-01-29
1295374247 Thomas William Cox Nurse Practitioner 12812 Constitution Ave Ne Apt 2, Albuquerque, NM 87112-6142 2019-12-21
1730720632 Carmen Caterina Marcolina Nurse Practitioner 4201 Central Ave Nw # 3, Albuquerque, NM 87105-1630 2019-10-01
1700349834 Heather Marie Pink Nurse Practitioner 7802b Ironwood Ct Se, Albuquerque, NM 87116-1135 2019-04-06
1467936187 New Mexico Health Care Clinicians LLC Nurse Practitioner 3911 4th St Nw Ste A, Albuquerque, NM 87107-2510 2018-09-18
1609354398 Marisa Escobar Nurse Practitioner 3613 State Hwy 528 Nw, Albuquerque, NM 87114-8918 2018-08-03
1154807725 Andrea Chavez-benavidez Nurse Practitioner 6201 Jefferson St Ne Ste 103, Albuquerque, NM 87109-3431 2018-07-17
1356842488 Jopaul Valles Nurse Practitioner 407 Solano Dr Ne, Albuquerque, NM 87108-1045 2018-02-23
1275045700 Janna Rorebeck Nurse Practitioner 6804 Calle Santiago Ne, Albuquerque, NM 87113-1217 2017-10-24
Find all providers in ALBUQUERQUE

Competitor

Search similar providers

City ALBUQUERQUE
Zip Code 87111

Improve Information

Please comment or provide details below to improve the information on EDALYN KAY JOHNSON.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches