CHARMAINE R ALLEN-JOHNSON


Address: 619 Diagonal St, Clarkston, WA 99403-2041
Phone: 5097589003

CHARMAINE R ALLEN-JOHNSON (NPI# 1235259748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235259748
Entity Type Individual
Full Name CHARMAINE R ALLEN-JOHNSON
Credential ARNP
Practice Address 619 Diagonal St
Clarkston
WA 99403-2041
Mailing Address 165 Southport Ave
Lewiston
ID 83501-4523
Practice Telephone 5097589003
Practice Fax Number 5097589001
Mailing Telephone 2087433142
Mailing Fax Number 2087433142
Enumeration Date 2007-03-29
Last Update Date 2010-10-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
NP451A ID Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
AP3005439 WA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA 1786607 05

Office Location

Street Address 619 DIAGONAL ST
City CLARKSTON
State WA
Zip Code 99403-2041

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831347087 Complementary Integrated Health Care,llc Clinic/Center 619 Diagonal St, Clarkston, WA 99403-2041 2008-08-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306409669 Jessica Elaine Krull Specialist/Technologist 807 3rd Street, Clarkston, WA 99403 2019-04-22
1477006526 Idaho County Rideshare Non-emergency Medical Transport (VAN) 1470 Elm Street, Clarkston, WA 99403 2016-07-25
1679921340 Jonathan Preszler Counselor 629 6th Street, Educational and Psychological Services, Clarkston, WA 99403 2016-06-02
1104204957 Optimal Health and Wellness Clinic/Center 1267 Belmont Way, Clarkston, WA 99403 2015-05-13
1326456351 David Nygren Pharmacist 506 5th St, Clarkston, WA 99403 2014-07-22
1255672895 Alpowa Healthcare, Inc. Hospice Care, Community Based 1370 Bridge Street, Clarkston, WA 99403 2013-03-06
1265799407 Elizabeth Bagnulo Dacey Pathology 1225 Highland Avenue, Clarkston, WA 99403 2012-04-12
1649586256 Zeeshan Afzal Internal Medicine 1119 Highland Ave Ste 3, Clarkston, WA 99403 2010-08-20
1154657955 Twin River Vision, Inc. Optometrist 306 5th Street, Clarkston, WA 99403 2009-10-29
1649429317 Elizabeth Marie Allen-racicot Specialist 1013 Bridge Street, Clarkston, WA 99403 2008-09-17
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033767223 William Bodnar Nurse Practitioner 3701 College Ave, Clarkston, GA 30021-2508 2019-08-30
1619537636 Samina A. Damani Nurse Practitioner 3700 Market St Ste E, Clarkston, GA 30021-2600 2019-06-20
1457911281 Megan Clemence Nurse Practitioner 7210 N Main St Ste 200, Clarkston, MI 48346-1575 2019-06-14
1821577479 Jerrica Kallio Nurse Practitioner 909 Verdi Way, Clarkston, GA 30021-1057 2018-08-13
1346731866 Wanda M Lewis Nurse Practitioner 10112 Windy Knoll Ct, Clarkston, MI 48348-2182 2018-05-21
1104334846 Tiffany Johnson Nurse Practitioner 1040 Noble Vines Dr Apt 2, Clarkston, GA 30021-1345 2018-01-16
1720596802 Kenzie Gardner Nurse Practitioner 7643 Olde Sturbridge Trl, Clarkston, MI 48348-4613 2018-01-11
1245767631 Eric Dudenhofer Arnp Ps Nurse Practitioner 1271 Highland Ave # B, Clarkston, WA 99403-2846 2017-05-16
1710343181 Teri Massey Nurse Practitioner 518 Sunrise Dr, Clarkston, MI 48348-1493 2016-01-14
1275998833 Joyce John Nurse Practitioner 4378 Bluff Pointe, Clarkston, MI 48348-5081 2015-12-28
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Competitor

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City CLARKSTON
Zip Code 99403

Improve Information

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Dataset Information

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.

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