REGINALD JOHNSON NPI 1902254477

NPI Information

  • NPI: 1902254477
  • Provider Name: REGINALD JOHNSON
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2409 W PIERCE ST
    SUITE A
    CARLSBAD, NM
    ZIP 88220
  • Phone: (575) 887-8925

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NPI Details

Reginald Johnson is a family nurse practitioner in Carlsbad, NM with 10 years of experience. Reginald Johnson NPI is 1902254477. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2409 W PIERCE ST
SUITE A
CARLSBAD, NM
ZIP 88220-513
Phone: (575) 887-8925
Fax: (575) 887-8935

The NPI 1902254477 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/25/2016 and was last updated on 6/14/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyCNP-02926NEW MEXICOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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