AUDREY LYNN JOHNSON (NPI# 1053899120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053899120 |
| Entity Type | Individual |
| Full Name | AUDREY LYNN JOHNSON |
| Credential | RADT-1 |
| Practice Address |
9738 Lincoln Village Dr Sacramento CA 95827 |
| Mailing Address |
5010 Laguna Park Dr Elk Grove CA 95758-5241 |
| Practice Telephone | 9167145400 |
| Mailing Telephone | 9168022629 |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2018-08-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730518630 | Audrey Johnson | Nurse's Aide | 2939 E 123rd St, Cleveland, OH 44120-2665 | 2013-11-01 |
| 1821230392 | Audrey Elizabeth Johnson | Pediatrics | 4300 W University Dr Ste 10, Prosper, TX 75078-9806 | 2009-03-30 |
| 1972118610 | Audrey Johnson | Physical Therapist | 646 E Broadway Blvd, Jefferson City, TN 37760-4900 | 2020-09-10 |
| 1699314930 | Audrey Johnson | Behavior Technician | 7949 California Ave Ste 15, Fair Oaks, CA 95628-7156 | 2020-01-03 |
| 1902261662 | Audrey Boller Johnson | Contractor | 713 Alfonso St, Pensacola, FL 32505 | 2015-12-23 |
| 1194105437 | Audrey Gill Johnson | Psychologist | 1 Va Ctr, Augusta, ME 04330-6719 | 2015-06-02 |
| 1750614442 | Audrey Sue Johnson | Marriage & Family Therapist | 23632 Calabasas Rd, Suite 103, Calabasas, CA 91302-1553 | 2009-09-11 |
| 1942464516 | Audrey Fay Johnson | Registered Nurse | 8901 W Lincoln Ave, Diabetes Ed, West Allis, WI 53227-2409 | 2008-07-14 |
| 1760654164 | Audrey M Johnson | Physical Therapist | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2008-03-26 |
| 1679795736 | Audrey Johnson | Counselor | 840 Interstate Dr, Grayson, KY 41143-1768 | 2007-05-02 |
| Street Address |
9738 LINCOLN VILLAGE DR |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336690742 | Gary Douglas Leatherman | Counselor | 9738 Lincoln Village Dr, Sacramento, CA 95827-3378 | 2016-10-20 |
| 1912551680 | T. Crandall | Counselor | 9738 Lincoln Village Dr, Sacramento, CA 95827-3378 | 2019-07-30 |
| 1417464090 | Andrea Denette Hayes | Counselor | 9738 Lincoln Village Dr, Sacramento, CA 95827-3378 | 2018-01-04 |
| 1972010551 | Alex Hastain | Counselor | 9738 Lincoln Village Dr, Sacramento, CA 95827-3378 | 2018-01-04 |
| 1558883934 | Julian Nathaniel Adame | Counselor | 9738 Lincoln Village Dr, Sacramento, CA 95827 | 2017-07-07 |
| 1326572017 | Trista Finley | Counselor | 9738 Lincoln Village Dr, Sacramento, CA 95827-3378 | 2017-04-19 |
| 1477099869 | John Mosley | Counselor | 9738 Lincoln Village Dr, Sacramento, CA 95827-3378 | 2017-01-10 |
| 1922544311 | Tammy Garcia | Counselor | 9738 Lincoln Village Dr, Sacramento, CA 95827-3378 | 2017-01-10 |
| 1740726132 | Taifa Thompson | Counselor | 9738 Lincoln Village Dr, Sacramento, CA 95827-3378 | 2017-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275170235 | Amy Braley | Occupational Therapist | Love Joy Adhc, 10293 Rockingham Dr, Sacramento, CA 95827 | 2019-12-09 |
| 1164078598 | Theresa Marie Reich | Home Health Aide | 9819 Lebra Avenue, Sacramento, CA 95827 | 2019-08-12 |
| 1790257475 | Elissa Beth Crandall | Counselor | 3353 Bradshaw Rd Ste 112, Sacramento, CA 95827 | 2018-12-19 |
| 1649746900 | Christopher Avery Di Domenico | Counselor | North Site: 4441 Auburn Blvd, Suite E, Sacramento, CA 95827 | 2018-10-15 |
| 1285156661 | Keith Ramon Blakely | Counselor | 9738 Lincoln Village, Sacramento, CA 95827 | 2017-07-07 |
| 1376065755 | Julianne Marlene Divirgilio | Counselor | 9738 Lincoln Village Dr., Sacramento, CA 95827 | 2017-07-07 |
| 1275981409 | Carl Phillips Jr. | Counselor | 2819 Pepper Oaks Dr, Sacramento, CA 95827 | 2016-05-27 |
| 1316335581 | Nancy Khun | Counselor | 3990 Branch Center Rd., Sacramento, CA 95827 | 2014-12-22 |
| 1750623385 | Davidshka Lynel Shavers | Counselor | 3340 Viking Dr, Suite 114, Sacramento, CA 95827 | 2013-03-21 |
| 1114263803 | John Kwamena Bankas | Marriage & Family Therapist | 9837 Folsom Blvd., Ste. F, Sacramento, CA 95827 | 2012-12-27 |
| Find all providers in zip 95827 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508472440 | Jamie Lee Byrnes | Counselor | 777 12th St Ste 250, Sacramento, CA 95814-1929 | 2020-09-16 |
| 1104431519 | Sally Kathleen Montazer | Counselor | 1134 Clinton Rd, Sacramento, CA 95825-7304 | 2020-09-11 |
| 1255958187 | Douglas Benjamin Gudeman | Counselor | Alternative House-residential Treatment Center, 1550 Juliesse Avenue, Sacramento, CA 95815 | 2020-06-26 |
| 1972127611 | Brianna Hope Barron | Counselor | 8950 Cal Center Dr Ste 160&165, Sacramento, CA 95826-3259 | 2020-05-28 |
| 1699398420 | Selena Marie Brown | Counselor | 8084 Weeping Willow Ln, Sacramento, CA 95828-5395 | 2020-05-27 |
| 1346863222 | Erin Harris | Counselor | 2819 Norcade Cir Apt 1, Sacramento, CA 95826-3427 | 2020-05-26 |
| 1023638566 | Marta Yomara Rodriguez | Counselor | 5311 College Oak Dr Apt 16, Sacramento, CA 95841-2575 | 2020-04-24 |
| 1033739321 | Yancey Outreach International Inc. | Counselor | 1457 Dreamy Way, Sacramento, CA 95835-1761 | 2020-04-16 |
| 1114554136 | Cassandra Arlene Del Toro Ruiz | Counselor | 2403 Yreka Ave # 15, Sacramento, CA 95822-4466 | 2020-03-27 |
| 1952931487 | Anisa Sims | Counselor | 2688 Stonecreek Dr Apt 137, Sacramento, CA 95833 | 2020-01-23 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95827 |
Please comment or provide details below to improve the information on AUDREY LYNN JOHNSON.
| 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.