MARY BETH JOHNSON CNP
NPI 1063419471
Nurse Practitioner in Sioux Falls, SD

Q: What is Mary Johnson's NPI number?

The NPI number for Mary Johnson is 1063419471. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Q: What is Mary Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Johnson was last updated on May 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 30, 2005

401 E 8TH ST, STE 230, SIOUX FALLS, SD 57103(605) 334-5099(605) 333-0245 Get Directions Write a Review

NPPES record last updated: May 27, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mary Beth Johnson Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY BETH JOHNSON CNP (NPI 1063419471) is an individual nurse practitioner in Sioux Falls, South Dakota, licensed in South Dakota (CNP0203) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1063419471

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMARY BETH JOHNSONCredential: CNP

Location Address401 E 8TH ST, STE 230Sioux Falls, SD 57103-7011

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-9556 · Fax (605) 328-9501

Phone(605) 334-5099

Fax(605) 333-0245

Sole ProprietorNo

Enumeration DateJune 30, 2005

Last NPPES UpdateMay 27, 2009

✔ NPI 1063419471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in SD · CNP0203

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.

401 E 8TH ST, Sioux Falls, SD 57103

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Other Identifiers 5

Medicare PIN420001803SD

Medicare PINS40900SD

Medicare PINS103252SD

Medicare UPINS99176

Medicaid6826094SD

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEAH PIERSOL, BUSINESS

Counselor (Mental Health)

401 E 8TH ST, SUITE 209
SIOUX FALLS, SD 57103

Minnehaha County (605) 212-3638

MS. TINA HARP MS

Counselor (Mental Health)

401 E 8TH ST
SIOUX FALLS, SD 57103

Minnehaha County (605) 759-3074

BRADLEY S LARSEN CRNA

Nurse Anesthetist, Certified Registered

401 E 8TH ST, SUITE 221
SIOUX FALLS, SD 57103

Minnehaha County (605) 339-6525

MS. BECKY LEE JOHNSON MS LPC

Counselor (Professional)

401 E 8TH ST, SUITE 302
SIOUX FALLS, SD 57103

Minnehaha County (605) 332-1700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Johnson's NPI number?

The NPI number for Mary Johnson is 1063419471. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Where is Mary Johnson located?

Mary Johnson practices at 401 E 8th St Ste 230, Sioux Falls, SD 57103. The listed phone number is (605) 334-5099.

What is Mary Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Mary Johnson was last updated on May 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.