BETHANY JOHNSON FNP-BC - NPI 1104751320 - Nurse Practitioner in Fargo, ND

Q: What is Bethany Johnson's NPI number?

The NPI number for Bethany Johnson is 1104751320. It was assigned to this individual provider in the NPPES registry on June 17, 2026. The provider is also known as Bethany Sandy.

Q: What is Bethany 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 Bethany Johnson was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.

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About Bethany Johnson Fnp-bc NPPES

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

BETHANY JOHNSON FNP-BC (NPI 1104751320) is an individual nurse practitioner in Fargo, North Dakota, licensed in North Dakota (205339) and active in the NPI registry since June 2026. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104751320

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameBETHANY JOHNSONCredential: FNP-BC

Location Address801 BROADWAY NFargo, ND 58102-3641

Mailing Address5225 23rd Ave SFargo, ND 58104-7927 · (701) 417-2000

Phone(701) 234-2251

Sole ProprietorNo

Enumeration DateJune 17, 2026

Last NPPES UpdateJuly 7, 2026

NPPES CertifiedJuly 7, 2026

✔ NPI 1104751320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in ND · 205339

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.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 205339 (ND)

801 BROADWAY N, Fargo, ND 58102

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Other Names 1

Former Name (1)Bethany Sandy

Secondary Practice Locations 2

Location 1801 Broadway NFargo, ND 58102-3641 · Phone (701) 234-2000

Location 25225 23rd Ave SFargo, ND 58104-7927 · Phone (701) 417-2000

Other Providers at the Same Location NPPES 20

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

SARAH HOEPFNER

Speech-Language Pathologist