Active NPIIndividual providerSole proprietor

Lara C Johnson

Nurse Practitioner, Psych/Mental Health in Berkley, Massachusetts

NPI Number1912716200
Practice location
3 Saints Way, Berkley, MA 02779-1343
Fax
469-746-7555
Last updated
October 9, 2025

Lara Cristina Johnson is a Nurse Practitioner, Psych/Mental Health based in Berkley, MA. Lara Cristina Johnson practices in Berkley, MA. The NPI Number for Lara Cristina Johnson is 1912716200 and holds a License No. RN2279515 (MA). The current practice location address for Lara Cristina Johnson is 3 Saints Way, Berkley, MA 02779-1343 and can be reached out via phone at 508-292-1791 and via fax at 469-746-7555.

Provider Profile Details

NPI Number
1912716200
Provider Name
Lara Cristina Johnson
Provider Entity Type
Individual
Gender
Female
Address
3 Saints Way, Berkley, MA 02779-1343
Phone Number
508-292-1791
Fax Number
469-746-7555
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
January 2, 2025
Last Update Date
October 9, 2025
Certification Date
October 9, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
3 Saints Way
Berkley, MA 02779-1343
Zip
02779-1343
Phone Number
508-292-1791
Fax Number
469-746-7555
Berkley, MA 02779Get directions →

Provider Business Mailing Address Details

Address
2343 Purchase St
New Bedford, MA 02746-1555
City
New Bedford
State
MA
Zip
02746-1555
Phone Number
781-436-3352

License Information

License Number (1)
RN2279515
License State (1)
MA
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
APRN04545
License State (2)
RI
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (3)
RN79950
License State (3)
RI
Taxonomy (3)
Registered Nurse · 163W00000X
License Number (4)
RN2279515
License State (4)
MA
Taxonomy (4)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lara C Johnson?

The NPI number of Lara C Johnson is 1912716200. It was assigned on January 2, 2025 and is currently active in the NPPES registry.

What is the specialty of Lara C Johnson?

Lara C Johnson is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number RN2279515.

Where does Lara C Johnson practice?

The practice location is 3 Saints Way, Berkley, MA 02779-1343. The office can be reached at 508-292-1791 (phone) or 469-746-7555 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1912716200 directly on the NPPES registry website.

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