MARY I JOHNSON APRN
NPI 1679510309
Nurse Practitioner in Columbia, MO

Active since June 01, 2006
115 BUSINESS LOOP 70 W, COLUMBIA, MO 65203(573) 882-4979(573) 884-6050 Get Directions Write a Review

NPPES record last updated: August 9, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary I Johnson Aprn NPPES

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

MARY I JOHNSON APRN (NPI 1679510309) is an individual nurse practitioner in Columbia, Missouri, licensed in Missouri (048830) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1679510309
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARY I JOHNSONCredential: APRN
Location Address115 BUSINESS LOOP 70 WColumbia, MO 65203-3244
Mailing AddressPo Box 7687Columbia, MO 65205-7687 · (573) 882-2259
Fax(573) 884-6050
Sole ProprietorNo
Enumeration DateJune 1, 2006
Last NPPES UpdateAugust 9, 2012
NPI 1679510309 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 MO · 048830
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.
115 BUSINESS LOOP 70 W, Columbia, MO 65203

Other Identifiers 8

Other101660MO · Healthlink
Medicare PINP00457828MO
Other143538MO · Blue Shield/blue Choice
Medicare PIN819590010MO
Medicare PIN819595236MO
Medicare PIN500020674MO
Medicare UPINP39883
Medicaid425336609MO

Other Providers at the Same Location NPPES 9

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

Surgery
115 BUSINESS LOOP 70 W
COLUMBIA, MO 65203
Psychologist (Clinical)
115 BUSINESS LOOP 70 W
COLUMBIA, MO 65203
Psychologist
115 BUSINESS LOOP 70 W
COLUMBIA, MO 65203
Home Health
115 BUSINESS LOOP 70 W, ELLIS FISCHEL HOSPITAL, SUITE 2014, DC900 00
COLUMBIA, MO 65203
Dentist (Oral and Maxillofacial Surgery)
115 BUSINESS LOOP 70 W
COLUMBIA, MO 65203
Psychologist (Clinical)
115 BUSINESS LOOP 70 W
COLUMBIA, MO 65203
Radiology (Radiation Oncology)
115 BUSINESS LOOP 70 W
COLUMBIA, MO 65203
Durable Medical Equipment & Medical Supplies
115 BUSINESS LOOP 70 W, ROOM 1006
COLUMBIA, MO 65203

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 1679510309. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Mary Johnson located?

Mary Johnson practices at 115 Business Loop 70 W, Columbia, MO 65203. The listed phone number is (573) 882-4979.

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 August 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.