PORTIA JOHNSON (NPI# 1164070793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164070793 |
| Entity Type | Individual |
| Full Name | PORTIA JOHNSON |
| Credential | NP |
| Practice Address |
4400 Vestal Pkwy E Binghamton NY 13902-4400 |
| Mailing Address |
3 Clubhouse Rd Binghamton NY 13903-1208 |
| Practice Telephone | 6077773711 |
| Mailing Telephone | 6077277772 |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2019-08-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
402707 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558994616 | Portia Lynett Johnson | Driver | 814 Orlando Ct, Roanoke, VA 24019-5308 | 2020-02-18 |
| 1790075968 | Portia Johnson | Pharmacist | 142 Locke Woods Rd, Raleigh, NC 27603-4170 | 2011-04-08 |
| Street Address |
4400 VESTAL PKWY E |
| City | BINGHAMTON |
| State | NY |
| Zip Code | 13902-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558913442 | Bridget Oppong-darko | Nurse Practitioner | 4400 Vestal Pkwy E, Binghamton, NY 13902-4400 | 2019-07-11 |
| 1982219754 | Jennifer Bullis | Nurse Practitioner | 4400 Vestal Pkwy E, Binghamton, NY 13902-4400 | 2020-09-09 |
| 1265044531 | Ashley Hatzidakis | Student in an Organized Health Care Education/Training Program | 4400 Vestal Pkwy E, Binghamton, NY 13902-4601 | 2020-08-18 |
| 1558971002 | Ashley Leann Berg | Student in an Organized Health Care Education/Training Program | 4400 Vestal Pkwy E, Binghamton, NY 13902-4601 | 2020-08-08 |
| 1629695796 | Rebecca Carr | Student in an Organized Health Care Education/Training Program | 4400 Vestal Pkwy E, Binghamton, NY 13902-4400 | 2020-07-06 |
| 1922625383 | Justin Weilert | Registered Nurse | 4400 Vestal Pkwy E, Binghamton, NY 13902-4400 | 2020-07-01 |
| 1417577602 | Melissa Ann Mclaughlin | Student in an Organized Health Care Education/Training Program | 4400 Vestal Pkwy E, Binghamton, NY 13902-4601 | 2020-04-17 |
| 1134748379 | Janine Barreau | Student in an Organized Health Care Education/Training Program | 4400 Vestal Pkwy E, Binghamton, NY 13902-4601 | 2020-04-08 |
| 1518593458 | Katherine Lyon | Student in an Organized Health Care Education/Training Program | 4400 Vestal Pkwy E, Binghamton, NY 13902-4400 | 2020-03-22 |
| 1548895428 | Kelly Lee Drollette | Student in an Organized Health Care Education/Training Program | 4400 Vestal Pkwy E, Binghamton, NY 13902-4601 | 2020-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164050308 | Angie E Kilburn | Student in an Organized Health Care Education/Training Program | Suny Binghamton Unversity 4400 Vestal Parkway East, Binghamton, NY 13902 | 2020-04-01 |
| 1710444302 | Amna Mian | Specialist | 4400 Vestal Parkway East Institute for Child Developmen, Binghamton, NY 13902 | 2019-03-01 |
| 1508181017 | Daniel Frair | Pharmacist | 249-251 Main St, Binghamton, NY 13902 | 2010-03-29 |
| 1700974391 | Sam C Olmstead | Social Worker | 42 Mitchell Ave, Binghamton, NY 13902 | 2006-10-10 |
| 1487765525 | Paul Terry Titus | Dentist | 901 Front Street, Broome Community College-dental Hygeine School, Binghamton, NY 13902 | 2006-08-31 |
| 1972536613 | Noel A. Zeh | Specialist/Technologist | 4000 Vestal Parkway E, Binghamton, NY 13902 | 2006-07-08 |
| 1508836495 | Karen C Cerinetti | Nurse Practitioner | 4400 Vestal Parkway, Binghamton, NY 13902 | 2006-01-24 |
| 1801158084 | Natalie M Winans | Specialist | 4400 Vestal Parkway, East Binghamton University, Vestal, NY 13902 | 2012-06-13 |
| 1578825881 | Lisa M Cooper | Specialist | 4400 Vestal Parkway East Binghamton University, Vestal, NY 13902 | 2012-06-12 |
| 1447554118 | Hope Victoria Hodges | Licensed Practical Nurse | 66 Hawley Street, Binghamton, NY 13902 | 2011-01-10 |
| Find all providers in zip 13902 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265815211 | Miriam Mikaya | Nurse Practitioner | 10-42 Mitchel Avenue, Binghamton, NY 13903 | 2015-07-08 |
| 1922181254 | Barbara J Fortunato | Nurse Practitioner | 2-8 Hawley St., Berkshire Farm Center for Youth, Binghamton, NY 13901-3114 | 2006-10-23 |
| 1821697251 | Ashley Elizabeth Satterfield | Nurse Practitioner | 114 Clinton St, Binghamton, NY 13905-2212 | 2020-10-16 |
| 1740836089 | Kathleen N Mignone | Nurse Practitioner | 30 W State St, Binghamton, NY 13901-2357 | 2019-08-13 |
| 1003476888 | Maribeth Evans | Nurse Practitioner | 10-42 Mitchell Ave, Binghamton, NY 13903-1617 | 2019-06-14 |
| 1437719143 | Colleen M Coddington | Nurse Practitioner | 184 Court St, Binghamton, NY 13901-3515 | 2019-06-14 |
| 1871054460 | Maria Askew | Nurse Practitioner | 10-42 Mitchell Ave, Binghamton, NY 13903-1617 | 2019-03-27 |
| 1073071718 | Linda Niles | Nurse Practitioner | 10-42 Mitchell Ave, Binghamton, NY 13903-1617 | 2019-03-12 |
| 1598223174 | Nicole Mikula | Nurse Practitioner | 10-42 Mitchell Ave, Binghamton, NY 13903-1617 | 2019-03-04 |
| 1720545494 | Mary Kate Gaetani | Nurse Practitioner | 10-42 Mitchell Ave, Binghamton, NY 13903-1617 | 2019-02-28 |
| Find all providers in BINGHAMTON | ||||
| City | BINGHAMTON |
| Zip Code | 13902 |
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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.