Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710935200 Individual Practitioner Female Practitioner

Edalyn Kay Johnson , CNP

Nurse Practitioner • Albuquerque, NM

Professional Overview & Biography Verified Profile Summary

Edalyn Johnson, CNP is a registered healthcare professional specializing in Nurse Practitioner in Albuquerque, NM. Practice services are available at 4550 EUBANK BLVD NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4550 Eubank Blvd Ne
Suite 105

Albuquerque, NM 871113479

Telephone 5052961120
Fax 5052961121
Associated Practice Facility / Clinic
🏢 Natural Womens Health Llc Facility NPI 1295915346

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Albuquerque, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.8 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
284 Specialists

Practicing in Albuquerque, NM (577 Statewide)

Telehealth Adoption Rate
18.7% 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 NM R17788

(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.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License NM R17788

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Triwest
743032990 (NM)

Practice Associates & Co-Workers

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

5 Associated Practitioners
Dr. Joseph Bowers , DMD

Dentist - Periodontics

NPI 1346408358

Doctor of Dental Medicine

NPI 1760657126

Doctor of Oriental Medicine

NPI 1821097544

Doctor of Chiropractic

Dr. William Rose , DDS

Dentist - General Practice

NPI 1932278447

Doctor of Dental Surgery

NPI 1972584803

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 20, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location May 20, 2008

Registered at 4550 EUBANK BLVD NE, SUITE 105, ALBUQUERQUE, NM 871113479 (Tel: 5052961120)

📍
Updated Business Mailing Address May 20, 2008

Registered at 4550 EUBANK BLVD NE, SUITE 105, ALBUQUERQUE, NM 871113479 (Tel: 5052961120)

👤
Provider Name / Credentials Updated May 20, 2008

Recorded as EDALYN JOHNSON, CNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2008

Registered Nurse (License #R17788 in NM)

🟢
Initial NPI Registration & Enumeration May 05, 2006

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: 1710935200
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 05, 2006
Last Update: May 20, 2008
Sole Proprietor: No

Mailing Address

4550 Eubank Blvd Ne, Suite 105

Albuquerque, NM 871113479

Phone: 5052961120

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.