Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Holly Johnson

Family Nurse Practitioner in Escanaba, MI · enumerated 2016.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124475058

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Registry record

Entity type Individual (Type 1)

Name Holly Johnson

Sex Female

Practice address 3409 Ludington St, Suite 100, Escanaba, MI, 49829

Phone (906) 789-4414

Enumeration date May 20, 2016

Last updated in NPPES Jun 27, 2017

Taxonomy & licenses

163W00000X Registered Nurse Nursing Service Providers · License 4704278219 (MI) Secondary

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 4704278219 (MI) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Holly Johnson's NPI record?

Cross-check NPI 1124475058 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1124475058 active?

Yes, as of the latest NPPES snapshot, NPI 1124475058 is active (record last updated 2017-06-27).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-06-27.