CAMILLE MACHEA JOHNSON (NPI# 1013579317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013579317 |
Entity Type | Individual |
Full Name | CAMILLE MACHEA JOHNSON |
Practice Address |
2521 E Mountain Village Dr Ste F Wasilla AK 99654-7373 |
Mailing Address |
480 S Timberwood Cir Palmer AK 99645-8937 |
Practice Telephone | 9072903760 |
Practice Fax Number | 9076310647 |
Mailing Telephone | 9072308191 |
Enumeration Date | 2019-07-08 |
Last Update Date | 2019-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
NURR37059 | AK | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457732711 | Camille Johnson | Internal Medicine | Section of Hematology and Oncology Bu/bmc Cancer Center, Boston University 650 Albany St, Ebrc 406, Boston, MA 02118 | 2015-06-12 |
1164832598 | Camille L Johnson | Registered Nurse | 19 Sussex Ct, Buffalo, NY 14204-1728 | 2014-05-07 |
1497951933 | Camille Johnson | Counselor | 823 Murray Ave, San Luis Obispo, CA 93405 | 2007-06-22 |
1508902412 | Camille Rose Johnson | Nurse Practitioner | 7301 Jefferson St Ne, Suite G, Albuquerque, NM 87109-4355 | 2007-01-29 |
1558337147 | Camille Elise Johnson | Family Medicine | 15301 E 8 Mile Rd, Eastpointe, MI 48021-2952 | 2006-02-24 |
1205456381 | Camille Andrea Johnson | Obstetrics & Gynecology | 5841 S Maryland Ave # Mc2050, Chicago, IL 60637-1443 | 2020-04-20 |
1083122154 | Camille Johnson | Case Manager/Care Coordinator | 520 3rd St Nw, Jamestown, ND 58401-2968 | 2018-01-11 |
1063957975 | Camille Johnson | Speech-Language Pathologist | 1740 Hudson Bridge Rd Ste 1208, Stockbridge, GA 30281-6331 | 2016-12-31 |
1588923031 | Camille Ifland Johnson | Internal Medicine | 1100 9th Ave, Ms:c8-gim, Seattle, WA 98101-2756 | 2012-05-03 |
1811049448 | Camille M Johnson | Nurse Practitioner | 1201 Carolina Ave, Washington, NC 27889-3571 | 2007-01-16 |
Street Address |
2521 E MOUNTAIN VILLAGE DR STE F |
City | WASILLA |
State | AK |
Zip Code | 99654-7373 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659722114 | Community Medical Services Montana-private, LLC | Counselor | 2521 E Mountain Village Dr Ste F, Wasilla, AK 99654 | 2016-06-27 |
1144872151 | Jovan Kidder Aila | Case Manager/Care Coordinator | 2521 E Mountain Village Dr Ste F, Wasilla, AK 99654-7373 | 2019-07-10 |
1780246082 | Kara Jane Holbrook | Licensed Practical Nurse | 2521 E Mountain Village Dr Ste F, Wasilla, AK 99654-7373 | 2019-07-08 |
1760044077 | Barbara Johnson-tow | Counselor | 2521 E Mountain Village Dr Ste F, Wasilla, AK 99654-7373 | 2019-07-08 |
1982266326 | Lacage Marie Henderson | Counselor | 2521 E Mountain Village Dr Ste F, Wasilla, AK 99654-7373 | 2019-07-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
Find all providers in zip 99654 |
Taxonomy Code | 163WA0400X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770135717 | Alysia Norum | Registered Nurse | 650 Yonker Ct, Fairbanks, AK 99701-7586 | 2019-07-10 |
1417401183 | Shana Edwin | Registered Nurse | 650 Younker Ct, Fairbanks, AK 99701-7586 | 2016-08-10 |
1962040386 | Jonathan Whiting | Registered Nurse | 650 Younker Ct, Fairbanks, AK 99701-7586 | 2019-12-16 |
1508408386 | Taylor Chong | Registered Nurse | 4330 Elmore Rd, Anchorage, AK 99508-5907 | 2019-10-13 |
1104476159 | Mary Ellen Neary | Registered Nurse | 3250 Hospital Dr, Juneau, AK 99801-7808 | 2019-09-11 |
1598319261 | Robert Frederick Jasmer | Registered Nurse | 1650 Bragaw St, Anchorage, AK 99508-3435 | 2019-07-30 |
1760035059 | Jangmoo Sherpa | Registered Nurse | 650 Younker Ct, Fairbanks, AK 99701-7586 | 2019-07-17 |
1184276123 | Cynthia Lu Belle Kelley | Registered Nurse | 650 Younker Ct, Fairbanks, AK 99701-7586 | 2019-07-10 |
1679125603 | Jody Tate | Registered Nurse | 650 Younker Ct, Fairbanks, AK 99701-7586 | 2019-07-10 |
1073174298 | Mary Ellen Degange | Registered Nurse | 1015 E 6th Ave, Anchorage, AK 99501-2748 | 2019-06-27 |
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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.