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EDALYN KAY JOHNSON CNP
NPI 1710935200
Nurse Practitioner in Albuquerque, NM

Active since May 05, 2006
4550 EUBANK BLVD NE, SUITE 105, ALBUQUERQUE, NM 87111(505) 296-1120(505) 296-1121 Get Directions Write a Review

NPPES record last updated: May 20, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edalyn Kay Johnson Cnp NPPES

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

EDALYN KAY JOHNSON CNP (NPI 1710935200) is an individual nurse practitioner in Albuquerque, New Mexico, licensed in New Mexico (R17788) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1710935200
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameEDALYN KAY JOHNSONCredential: CNP
Location Address4550 EUBANK BLVD NE, SUITE 105Albuquerque, NM 87111-3479
Mailing Address4550 Eubank Blvd Ne, Suite 105Albuquerque, NM 87111-3479 · (505) 296-1120 · Fax (505) 296-1121
Phone(505) 296-1120
Fax(505) 296-1121
Sole ProprietorNo
Enumeration DateMay 5, 2006
Last NPPES UpdateMay 20, 2008
✔ NPI 1710935200 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 NM · R17788
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 ListedRegistered NurseTaxonomy 163W00000X · License R17788 (NM)
4550 EUBANK BLVD NE, Albuquerque, NM 87111
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Other Identifiers 3

Medicare UPINS47909
Medicare PIN$$$$$$$$$RNM
Other743032990NM · Triwest

Other Providers at the Same Location NPPES 11

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

W GREGORY ROSE DDS PA
Dentist
4550 EUBANK BLVD NE, SUITE 201
ALBUQUERQUE, NM 87111
Bernalillo County (505) 296-5544
SANDIA INTEGRATIVE HEALTH LLC
Clinic/Center (Primary Care)
4550 EUBANK BLVD NE, SUITE 205
ALBUQUERQUE, NM 87111
Bernalillo County (510) 386-0468
NATURAL WOMENS HEALTH LLC
Nurse Practitioner
4550 EUBANK BLVD NE, STE 105
ALBUQUERQUE, NM 87111
Bernalillo County (505) 296-1120
DR. JOSEPH HAMPTON BOWERS D.M.D.
Dentist (Periodontics)
4550 EUBANK BLVD NE, SUITE 207
ALBUQUERQUE, NM 87111
Bernalillo County (505) 291-9500
MCR ENTERPRISES, LP
Acupuncturist
4550 EUBANK BLVD NE, SUITE 105
ALBUQUERQUE, NM 87111
Bernalillo County (505) 271-6608
MARK L. SCHWARTZ, DC PC
Chiropractor
4550 EUBANK BLVD NE, SUITE 107
ALBUQUERQUE, NM 87111
Bernalillo County (505) 332-1006
MCR ENTERPRISES
Acupuncturist
4550 EUBANK BLVD NE, SUITE 105
ALBUQUERQUE, NM 87111
Bernalillo County (505) 271-6608
DR. BRENDA MAE MACGEORGE BURNS D.O.M.
Acupuncturist
4550 EUBANK BLVD NE
ALBUQUERQUE, NM 87111
Bernalillo County (505) 298-8745

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 Edalyn Johnson's NPI number?

The NPI number for Edalyn Johnson is 1710935200. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Edalyn Johnson located?

Edalyn Johnson practices at 4550 Eubank Blvd NE Suite 105, Albuquerque, NM 87111. The listed phone number is (505) 296-1120.

What is Edalyn 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 Edalyn Johnson was last updated on May 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.