MRS. AMANDA RAE JOHNSON (NPI# 1053897645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053897645 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA RAE JOHNSON |
| Credential | NP-C |
| Practice Address |
935 W 2nd St Swansea SC 29160-8665 |
| Mailing Address |
Po Box 6069 West Columbia SC 29171-6069 |
| Practice Telephone | 8035682000 |
| Practice Fax Number | 8035684190 |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2020-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
22057 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366040826 | Amanda Johnson | Technician | 1401 S Seward Meridian Pkwy # Ab, Wasilla, AK 99654-8312 | 2020-10-15 |
| 1184221178 | Amanda Elisa Johnson | Registered Nurse | 36 Chadwick Mnr, Fairport, NY 14450-8820 | 2020-10-03 |
| 1487263422 | Amanda Johnson | Nurse Practitioner | 1112 N Main Ave, Erwin, TN 37650-1508 | 2020-07-27 |
| 1922579234 | Amanda Johnson | Social Worker | 701 Zellwood Cir, Talladega, AL 35160 | 2018-12-12 |
| 1275022279 | Amanda Johnson | Chiropractor | 14555 E Arapahoe Rd Unit B, Aurora, CO 80016-1584 | 2018-05-04 |
| 1215438031 | Amanda D Johnson | Licensed Practical Nurse | 501 Fletcher Ave Apt 12, Lincoln, NE 68521-1364 | 2018-02-27 |
| 1508374174 | Amanda L Johnson | Nurse Practitioner | 108 Brenray Dr, Harriman, TN 37748-5148 | 2018-01-17 |
| 1063935807 | Amanda Nicole Johnson | Home Health Aide | 5831 Ravenna Ave, Louisville, OH 44641-9216 | 2017-07-24 |
| 1174058283 | Amanda Johnson | Counselor | 8370 Us Highway 82 E, Sherman, TX 75090-2404 | 2017-04-26 |
| 1023556255 | Amanda Johnson | Community Based Residential Treatment Facility, Mental Illness | 1442 Valota Rd, Redwood City, CA 94061-2620 | 2017-02-08 |
| Street Address |
935 W 2ND ST |
| City | SWANSEA |
| State | SC |
| Zip Code | 29160-8665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104812874 | David M. Jenkinson | Family Medicine | 935 W 2nd St, Swansea, SC 29160-8665 | 2005-09-27 |
| 1245837632 | Lexington Health Inc | Clinic/Center | 935 W 2nd St, Swansea, SC 29160-8665 | 2020-10-08 |
| 1164029591 | Lexington Health Inc | Family Medicine | 935 W 2nd St, Swansea, SC 29160-8665 | 2020-10-08 |
| 1396380721 | Sydney Jayne Dantzler | Nurse Practitioner | 935 W 2nd St, Swansea, SC 29160-8665 | 2019-11-08 |
| 1386298024 | Monica S Sires | Nurse Practitioner | 935 W 2nd St, Swansea, SC 29160-8665 | 2019-07-31 |
| 1487154894 | Whitney M Mullen | Nurse Practitioner | 935 W 2nd St, Swansea, SC 29160-8665 | 2018-02-13 |
| 1932235108 | Amy Elizabeth Conard | General Practice | 935 W 2nd St, Swansea, SC 29160-8665 | 2007-02-24 |
| 1356480909 | Carol A Upton | Nurse Practitioner | 935 W 2nd St, Swansea, SC 29160-8665 | 2007-02-06 |
| 1285773846 | Pamela Demitra Levi | Nurse Practitioner | 935 W 2nd St, Swansea, SC 29160-8665 | 2007-02-06 |
| 1124167770 | Sharalyn Joy Wilburn | Nurse Practitioner | 935 W 2nd St, Swansea, SC 29160-8665 | 2007-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760974828 | Sandy Run K-8 School | Clinic/Center | 450 Old Swamp Rd, Swansea, SC 29160 | 2018-06-05 |
| 1528314465 | Heritage Family Dentistry, LLC | Dentist | 533 Saint Matthews Road, Swansea, SC 29160 | 2012-07-30 |
| 1770727190 | Personal Touch Homecare,llc | Home Health | 335 W. Third St., Swansea, SC 29160 | 2009-04-29 |
| 1952582603 | Kristy Michelle Wolff | Nurse Practitioner | 935 West 2nd St, Swansea, SC 29160 | 2007-11-23 |
| 1457415853 | Cassandra Jo Moore | Counselor | 580 North Church Street, Swansea, SC 29160 | 2006-12-20 |
| 1821021254 | Lexington County Health Services District Inc | Clinic/Center | 935 West 2nd Street, Swansea, SC 29160 | 2006-07-09 |
| 1174543409 | Dale Blizzard | Family Medicine | 935 West 2nd Street, Swansea, SC 29160 | 2006-07-20 |
| 1730105735 | Lexington County Health Services District, Inc. | Clinic/Center | 935 West 2nd Street, Swansea, SC 29160 | 2006-07-14 |
| 1629194220 | Joseph B Workman IIi | Dentist | 533 St Matthews Rd, Swansea, SC 29160-0624 | 2007-03-22 |
| 1861797128 | Palmetto Senior Advocate | Health Maintenance Organization | 3064 Pine Plain Road, Swansea, SC 29160-0656 | 2011-01-18 |
| Find all providers in zip 29160 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336603364 | Kari Anne Simmons | Nurse Practitioner | 445 Sardis Church Rd, Swansea, SC 29160-8457 | 2019-01-23 |
| 1841714045 | Monica Ann Rothwell | Nurse Practitioner | 2340 Gar Hwy, Swansea, MA 02777-3907 | 2017-07-28 |
| 1851840722 | Ashley Brooke Tetreault | Nurse Practitioner | 2340 Grand Army Hwy, Swansea, MA 02777-3907 | 2016-10-03 |
| 1801078589 | Elizabeth Eileen Seal | Nurse Practitioner | 1031 Cedar Creek Rd, Swansea, SC 29160-9117 | 2007-12-04 |
| 1396380721 | Sydney Jayne Dantzler | Nurse Practitioner | 935 W 2nd St, Swansea, SC 29160-8665 | 2019-11-08 |
| 1528602331 | Melissa N Thole | Nurse Practitioner | 4941 Benchmark Centre Dr Ste 100, Swansea, IL 62226-2038 | 2019-11-05 |
| 1417590720 | Lauren Eck | Nurse Practitioner | 4000 N Illinois Ln, Swansea, IL 62226-1969 | 2019-10-21 |
| 1972145043 | Lindsay Medeiros | Nurse Practitioner | 440 Swansea Mall Dr, Swansea, MA 02777-4114 | 2019-10-10 |
| 1386298024 | Monica S Sires | Nurse Practitioner | 935 W 2nd St, Swansea, SC 29160-8665 | 2019-07-31 |
| 1487154894 | Whitney M Mullen | Nurse Practitioner | 935 W 2nd St, Swansea, SC 29160-8665 | 2018-02-13 |
| Find all providers in SWANSEA | ||||
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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.