CARIE LYNN JOHNSON (NPI# 1003351024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003351024 |
| Entity Type | Individual |
| Full Name | CARIE LYNN JOHNSON |
| Credential | APRN, NP-C |
| Practice Address |
12340 State Route 104 Waverly OH 45690-8968 |
| Practice Telephone | 7409415180 |
| Practice Fax Number | 7409415178 |
| Mailing Telephone | 7409415180 |
| Mailing Fax Number | 7409415178 |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2017-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN.360187 | OH | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.020386 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12340 STATE ROUTE 104 |
| City | WAVERLY |
| State | OH |
| Zip Code | 45690-8968 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437176286 | Harry T Kittaka | Family Medicine | 12340 State Route 104, Waverly, OH 45690-8968 | 2006-07-17 |
| 1518306646 | Melissa Castellano Flores | Nurse Practitioner | 12340 State Route 104, Waverly, OH 45690-8968 | 2013-06-21 |
| 1174869572 | Angelina Aileen Hardiesty-kelley | Registered Nurse | 12340 State Route 104, Waverly, OH 45690-8968 | 2012-12-13 |
| 1124205505 | Anthony Shane Wells | Specialist/Technologist | 12340 State Route 104, Waverly, OH 45690-8968 | 2008-01-28 |
| 1710164686 | Adena Health System | Clinic/Center | 12340 State Route 104, Waverly, OH 45690-8968 | 2008-01-23 |
| 1811174832 | Adena Health System | Family Medicine | 12340 State Route 104, Waverly, OH 45690-8968 | 2008-01-22 |
| 1962682351 | Justin W Smith | Internal Medicine | 12340 State Route 104, Waverly, OH 45690-8968 | 2007-11-14 |
| 1255475349 | Amy Leigh Mcnaughton | Nurse Practitioner | 12340 State Route 104, Waverly, OH 45690-8968 | 2007-02-20 |
| 1811915978 | Scott E Howard | Family Medicine | 12340 State Route 104, Waverly, OH 45690-8968 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767181 | Brandie Mustard | Homemaker | 3018 My Tabor Rd, Waverly, OH 45690 | 2020-10-15 |
| 1225661168 | Kyle Colley | Counselor | 14574 Us Hughway 23, Waverly, OH 45690 | 2020-02-19 |
| 1366082513 | Ryan Rawlins | Counselor | 14574 St. Rt. 23, Waverly, OH 45690 | 2020-01-15 |
| 1700424140 | Jaime Wooldridge | Counselor | 14532 St. Rt. 23, Waverly, OH 45690 | 2019-12-17 |
| 1518513415 | Jacquelyn Irene Sprouse | Counselor | 217 Emmitt Ave, Waverly, OH 45690 | 2019-08-15 |
| 1639634850 | Krista K Leeth | Counselor | 14532 Us Hwy 23, 14534 Us Hwy 23, Waverly, OH 45690 | 2019-02-01 |
| 1881196244 | Kevin Michael Reichert | Counselor | Pike County Recovery Council, 218 East North Street, Waverly, OH 45690 | 2018-03-01 |
| 1619483179 | Ticia Lewis | Counselor | 14532 State Route 23, Waverly, OH 45690 | 2017-12-20 |
| 1205342136 | Criston B Evans | Licensed Practical Nurse | 14532 Us Highway 23, Waverly, OH 45690 | 2017-12-14 |
| 1447763313 | Jody Ryan Colley | Counselor | 14572 St. Rt. 23, Waverly, OH 45690 | 2017-11-14 |
| Find all providers in zip 45690 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033442520 | April L. Mclevain | Nurse Practitioner | 4380 State Route 359, Waverly, KY 42462 | 2009-09-15 |
| 1477703155 | Christie Madge King-patterson | Nurse Practitioner | 215b Holly Lane, Waverly, TN 37185 | 2008-09-30 |
| 1710038989 | Jennifer Lee Gerber | Nurse Practitioner | 104 Hillwood Dr, Waverly, TN 37185-2116 | 2007-01-15 |
| 1548340078 | Mary B. Davis | Nurse Practitioner | 725 Holly Ln, Waverly, TN 37185-3284 | 2006-10-17 |
| 1154353092 | Memorial Clinic P.C. | Nurse Practitioner | 203 E Commerce St, Waverly, TN 37185-1629 | 2006-07-07 |
| 1346205796 | Dorothy L Dighton | Nurse Practitioner | Missouri St & Hwy 24, Waverly, MO 64096 | 2006-04-19 |
| 1528027562 | Nancy S. Kemp | Nurse Practitioner | 29 N Chemung St, Waverly, NY 14892-1211 | 2006-03-20 |
| 1447869821 | Rachel Cloke | Nurse Practitioner | 29 N Chemung St, Waverly, NY 14892-1211 | 2020-07-30 |
| 1285264630 | Ellen Elizabeth Jacque | Nurse Practitioner | 312 9th St Sw, Waverly, IA 50677-2999 | 2020-01-23 |
| 1114571536 | Ashlin Underwood | Nurse Practitioner | 301 W Main St, Waverly, TN 37185-1512 | 2019-07-25 |
| Find all providers in WAVERLY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.