KIMBERLY DALE JOHNSON MD
NPI 1316960032
Emergency Medicine in Farmington, NM
NPI Status: Active since July 25, 2006
Contact Information
4820 EAST MAIN STREET
SJRMC URGENT CARE
FARMINGTON, NM
ZIP 87402
Phone: (505) 609-6495
Fax: (505) 609-6496
- Individual
- Female
- Emergency Medicine
About KIMBERLY JOHNSON
This page provides the complete NPI Profile along with additional information for Kimberly Johnson, a provider established in Farmington, New Mexico with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1316960032 assigned on July 2006. The practitioner's primary taxonomy code is 207P00000X with license number MD2009-0511 (NM). The provider is registered as an individual and her NPI record was last updated 13 years ago.
- NPI
- 1316960032
- Provider Name
- KIMBERLY DALE JOHNSON MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4820 EAST MAIN STREET SJRMC URGENT CARE FARMINGTON, NM 87402
- Location Phone
- (505) 609-6495
- Location Fax
- (505) 609-6496
- Mailing Address
- PO BOX 4002 DURANGO, CO 81302
- Mailing Phone
- (970) 884-0548
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-25-2006
- Last Update Date
- 10-14-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD2009-0511
- License State
- NM
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | 32573 (CO) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| C804594 | MEDICARE PIN (08) | CO | |
| E70244 | MEDICARE UPIN (02) | ||
| 01325737 | MEDICAID (05) | CO | |
| K5584 | MEDICAID (05) | NM |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 1 | 6 | 9 | 6 | 0 | 0 | 3 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 2 | 6 | 18 | 6 | 0 | 0 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 2 + 6 + 1 + 8 + 6 + 0 + 0 + 6 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1316960032 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316960032, enumerated in the NPI registry as an "individual" on July 25, 2006
The provider is located at 4820 East Main Street Sjrmc Urgent Care Farmington, Nm 87402 and the phone number is (505) 609-6495
The provider's speciality is Emergency Medicine with taxonomy code 207P00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on July 25, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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