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Deactivated NPI 1689704447 Deactivated / Inactive NPI Female Practitioner

Jean R Johnson , NP

Nurse Practitioner • Chinle, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jean Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 07, 2007
NPI Deactivation Date December 23, 2019
Total Practice Duration ~12 Years of Practice (2007 – 2019)

Professional Overview & Biography Verified Profile Summary

Jean Johnson, NP was a registered Nurse Practitioner practicing in Chinle, AZ. Throughout an active medical career spanning 12 years, Jean Johnson provided care at the practice location at HWY 191 AND HOSPITAL RD until profile deactivation on 2019-12-23.

Practice Location & Contact Primary Location

Practice Address

Hwy 191 And Hospital Rd

Chinle, AZ 86503

Telephone 9286747166
Fax 9276747155
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Chinle, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.9 Yrs
Regional Practice Density
4 Specialists

Practicing in Chinle, AZ (1459 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CO 114671

(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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Amanda Gelman , MD

Internal Medicine

NPI 1003233990

Doctor of Medicine (M.D.)

Anne Whitis , PT

Physical Therapist

NPI 1023008877

Physical Therapist

Dr. Gregory Thompson , DDS

Dentist - General Practice

NPI 1023176963

Doctor of Dental Surgery

NPI 1023377967
Dr. Kristin Yeoman , MD

Internal Medicine

NPI 1043345234

Doctor of Medicine (M.D.)

Paul Claw , FNP

Nurse Practitioner - Family

NPI 1043478431

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 23, 2019

Record deactivated on December 23, 2019

NPI Profile Active April 28, 2011

NPI status registered as active in NPPES database

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Updated Practice Location April 28, 2011

Registered at HWY 191 AND HOSPITAL RD, CHINLE, AZ 86503 (Tel: 9286747166)

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Updated Business Mailing Address April 28, 2011

Registered at PO DRAWER PH, CHINLE, AZ 86503 (Tel: 9286747166)

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Provider Name / Credentials Updated April 28, 2011

Recorded as JEAN JOHNSON, NP

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2011

Nurse Practitioner (License #114671 in CO)

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Initial NPI Registration & Enumeration March 07, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689704447
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 07, 2007
Last Update: April 28, 2011
Deactivation Date: December 23, 2019

Mailing Address

Po Drawer Ph

Chinle, AZ 86503

Phone: 9286747166

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.