IndividualActive
Theresa Johnson, RN
NPI 1396020053 · Registered Nurse · Medford, NY
Theresa Johnson, RN is a Registered Nurse provider in Medford, NY (NPI 1396020053).
Provider details
- NPI number
- 1396020053
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 474328-1 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1 Scouting Blvd.
Medford, NY 11763
Phone: (631) 297-3210
Approximate (ZIP-level) locationGet directions
Mailing address
99 Hollywood Dr
Smithtown, NY 11787
Registry dates
- Enumerated
- 2011-10-13
- Last updated
- 2011-10-13
Frequently asked questions
- What is Theresa Johnson's NPI number?
- Theresa Johnson's National Provider Identifier (NPI) is 1396020053, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theresa Johnson's specialty?
- Theresa Johnson is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Theresa Johnson located?
- Theresa Johnson's practice location on file with NPPES is 1 Scouting Blvd., Medford, NY 11763.
- What is Theresa Johnson's phone number?
- The practice phone number listed in the NPPES registry for Theresa Johnson is (631) 297-3210.
- Is Theresa Johnson's NPI active?
- Yes — Theresa Johnson's NPI (1396020053) is active in the NPPES registry as of the last update on 2011-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.