MARY E. JOHNSON NP
NPI 1467565176
Nurse Practitioner in Indianapolis, IN

Q: What is Mary Johnson's NPI number?

The NPI number for Mary Johnson is 1467565176. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

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 April 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 August 16, 2006

8111 S EMERSON AVE, INDIANAPOLIS, IN 46237(317) 528-5261(317) 528-5026 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mary E. Johnson Np NPPES

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

MARY E. JOHNSON NP (NPI 1467565176) is an individual nurse practitioner in Indianapolis, Indiana, licensed in Indiana (71001218) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1467565176

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMARY E. JOHNSONCredential: NP

Location Address8111 S EMERSON AVEIndianapolis, IN 46237-8601

Mailing AddressPo Box 7112, Dept. #31Indianapolis, IN 46207-7112 · (317) 802-3151 · Fax (317) 870-0499

Phone(317) 528-5261

Fax(317) 528-5026

Sole ProprietorNo

Enumeration DateAugust 16, 2006

Last NPPES UpdateApril 1, 2021

NPPES CertifiedApril 1, 2021

✔ NPI 1467565176 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 IN · 71001218

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.

8111 S EMERSON AVE, Indianapolis, IN 46237

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Other Identifiers 1

Medicaid200035470IN

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.

JULIA PORTER MSP, CCC-SLP

Speech-Language Pathologist