Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dedrick Johnson

Individual provider Primary Care Nurse Practitioner · NPI 1326857012

Dedrick Johnson is a Nurse Practitioner in Albuquerque, New Mexico. Qualified in 2024, 2 years ago. Practices with Unm Hospital, a 397-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New Mexico.

Years since qualifying
2
Licensed in
NM
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

6330 Riverside Plaza Ln NW Ste 100
Albuquerque, NM 87120-2682
Phone: (505) 322-6687
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 — (505) 272-2111

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 82229 (NM)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 82229 (NM)

Record details

NPI number1326857012
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 6, 2025
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Unm Hospital — 397 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Albuquerque