DR. AUDREY GILL JOHNSON (NPI# 1194105437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194105437 |
| Entity Type | Individual |
| Full Name | DR. AUDREY GILL JOHNSON |
| Credential | PSY.D. |
| Practice Address |
1 Va Ctr Augusta ME 04330-6719 |
| Practice Telephone | 2076238411 |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2019-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS1591 | ME | Behavioral Health & Social Service Providers |
| N | 103TH0100X |
Psychologist Specialization: Health Service |
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 |
| 1053899120 | Audrey Lynn Johnson | Counselor | 9738 Lincoln Village Dr, Sacramento, CA 95827 | 2018-08-01 |
| 1902261662 | Audrey Boller Johnson | Contractor | 713 Alfonso St, Pensacola, FL 32505 | 2015-12-23 |
| 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 |
1 VA CTR |
| City | AUGUSTA |
| State | ME |
| Zip Code | 04330-6719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437135704 | Nancy Louise Johnson | Counselor | 1 Va Ctr, Building 206, Augusta, ME 04330-6719 | 2005-12-19 |
| 1730789710 | Monica Rachel Lee | Pharmacist | 1 Va Ctr, Augusta, ME 04330-6795 | 2020-10-28 |
| 1336746841 | Danae E. Stuart | Nurse Practitioner | 1 Va Ctr, Augusta, ME 04330-6795 | 2020-10-07 |
| 1699380774 | Erica Wolfe | Pharmacist | 1 Va Ctr, Augusta, ME 04330-6795 | 2020-09-15 |
| 1790303436 | Danny Sarkis | Student in an Organized Health Care Education/Training Program | 1 Va Ctr, Augusta, ME 04330-6795 | 2020-07-09 |
| 1518585256 | Elizabeth Sullivan | Student in an Organized Health Care Education/Training Program | 1 Va Ctr, Augusta, ME 04330-6795 | 2020-07-09 |
| 1710504907 | Katie S Eastman | Pharmacist | 1 Va Ctr, Augusta, ME 04330-6795 | 2020-07-03 |
| 1548885429 | Rebecca Labonte | Dietitian, Registered | 1 Va Ctr, Augusta, ME 04330-6795 | 2020-06-16 |
| 1942824362 | Whitney C Sargent | Pharmacist | 1 Va Ctr, Augusta, ME 04330-6795 | 2020-06-01 |
| 1336785708 | Matthew Douglas Campbell | Physician Assistant | 1 Va Ctr, Augusta, ME 04330-6719 | 2019-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181877 | Renewal Family Center, LLC | Community/Behavioral Health | 10 Learners Drive, Augusta, ME 04330 | 2020-10-12 |
| 1134748759 | Chelsea Simone Koch | Registered Nurse | 1 Va Center, Department of Veterans Affairs, Augusta, ME 04330 | 2020-04-14 |
| 1790238442 | Nicole Lacrosse | Behavioral Analyst | 53 Hayden Rd, Augusta, ME 04330 | 2016-07-29 |
| 1093176844 | Richard J. Larrabee | Counselor | 312 Townhouse Road, Chelsea, ME 04330 | 2016-03-08 |
| 1376910984 | Sarah C. A. Tatlock | Social Worker | 41 Anthony Ave, Augusta, ME 04330 | 2015-08-31 |
| 1457728180 | Va Maine Health | General Acute Care Hospital | 1 Va Center 05, Va Maine Healthcare System-togus, Augusta, ME 04330 | 2015-08-28 |
| 1043696842 | Megan Arsenault | Pharmacist | 403 Water Street, Augusta, ME 04330 | 2015-08-04 |
| 1205219987 | Trevor Holbert | Audiologist | 1 Va Center - Togus Va Medical Center, Audiology 126a, Augusta, ME 04330 | 2015-06-30 |
| 1659787836 | Hannah M. Pullen | Occupational Therapy Assistant | 12 Shuman Ave Ste 16, Augusta, ME 04330 | 2014-07-08 |
| 1831469899 | Tanya Bernadette Quarterman | Specialist | 153 Hospital St Ste 13, Augusta, ME 04330 | 2012-01-09 |
| Find all providers in zip 04330 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
| 1932635885 | Samantha L. Whatson | Psychologist | 3633 Wheeler Rd Ste 110, Augusta, GA 30909-6544 | 2017-05-11 |
| 1942743679 | Medoptions of Maine, LLC | Psychologist | 45 Memorial Cir, Augusta, ME 04330-6400 | 2016-11-29 |
| 1942652656 | Nancy Slobodnik | Psychologist | 1 Va Ctr # 28, Augusta, ME 04330-6719 | 2016-07-06 |
| 1710315171 | Holly Tabernik | Psychologist | 3405 Mike Padgett Hwy Bldg 10, Augusta, GA 30906-3815 | 2013-10-23 |
| 1225383078 | Sarah Bruce Stevens | Psychologist | 44 Thornberry Drive, Augusta, GA 30909-1922 | 2012-07-18 |
| 1326277831 | Katharine Elliott Mocciola | Psychologist | 1 Va Ctr # 116b, Augusta, ME 04330-6719 | 2009-07-06 |
| 1467635441 | Dana P. Reaume | Psychologist | 74 Bristlecone Ln, Augusta, GA 30909-1847 | 2007-12-12 |
| 1548460124 | Sarah Faith Shelton | Psychologist | 1829 Wrightsboro Rd, Augusta, GA 30904-2010 | 2007-07-20 |
| 1679623086 | M. Kevin Turner | Psychologist | 103 Rossmore Pl, Augusta, GA 30909-5769 | 2007-01-11 |
| Find all providers in AUGUSTA | ||||
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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.