AMANDA JOHNSON (NPI# 1346642212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346642212 |
| Entity Type | Individual |
| Full Name | AMANDA JOHNSON |
| Other Name | AMANDA SCHRADERMEIER |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
518 Garden St Santa Barbara CA 93101-1696 |
| Practice Telephone | 8059632445 |
| Practice Fax Number | 8059656981 |
| Mailing Telephone | 8059632445 |
| Mailing Fax Number | 8059656981 |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2019-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
1710296975 | OR | Behavioral Health & Social Service Providers |
| Y | 363A00000X | Physician Assistant | PA55230 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 171 Bush Rd, Cook, WA 986059104 | 7602967748 | |
| 9808 Venice Blvd Ste 600, Culver City, CA 902326807 | 7602967748 |
| 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 |
518 GARDEN ST |
| City | SANTA BARBARA |
| State | CA |
| Zip Code | 93101-1696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710939418 | Doris Lynn Reagen | Advanced Practice Midwife | 518 Garden St, Santa Barbara, CA 93101-1606 | 2006-05-17 |
| 1942772355 | Annie Nguyen | Physician Assistant | 518 Garden St, Santa Barbara, CA 93101-1606 | 2018-12-23 |
| 1265928386 | Sabrina Livne-kennedy | Registered Nurse | 518 Garden St, Santa Barbara, CA 93101-1606 | 2018-07-02 |
| 1760979934 | Dominique Ghamari | Physician Assistant | 518 Garden St, Santa Barbara, CA 93101-1606 | 2018-04-13 |
| 1902356009 | Raynea Susan Rosche | Registered Nurse | 518 Garden St, Santa Barbara, CA 93101-1606 | 2016-10-12 |
| 1629526199 | Tara Kristy Forseth | Registered Nurse | 518 Garden St, Santa Barbara, CA 93101-1606 | 2016-09-14 |
| 1891159471 | Carina Joel Richardson | Registered Nurse | 518 Garden St, Santa Barbara, CA 93101-1606 | 2016-04-08 |
| 1528432952 | Carrie Michelle Anderson | Registered Nurse | 518 Garden St, Santa Barbara, CA 93101-1606 | 2015-11-23 |
| 1477956274 | Katelynn Brodigan | Registered Nurse | 518 Garden St, Santa Barbara, CA 93101-1606 | 2014-10-07 |
| 1508122755 | Jacqueline Xs Lagana | Nurse Practitioner | 518 Garden St, Santa Barbara, CA 93101 | 2012-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962035998 | Danielle Marie Lauser | Marriage & Family Therapist | 735 State Street, Suite 416a, Santa Barbara, CA 93101 | 2020-02-18 |
| 1578056560 | Recovery Santa Barbara, Inc. | Voluntary or Charitable | 1532 Castillo Street, Main House and Units A and B, Santa Barbara, CA 93101 | 2018-06-13 |
| 1730678798 | Igor Lantsberg | Dentist | 31 W Gutierrez St, Santa Barbara, CA 93101 | 2018-05-05 |
| 1477071900 | Liliana De La Rocha | Counselor | 123 W Gutierrez Street, Santa Barbara, CA 93101 | 2017-09-05 |
| 1023531613 | Julie Roman | Counselor | 324 E Carrillo St Ste C, Santa Barbara, CA 93101 | 2017-07-25 |
| 1538689849 | Alejandra Sanchez | Counselor | 107 East Micheltorena St., Santa Barbara, CA 93101 | 2017-06-27 |
| 1205374725 | Suzanne Marlow | Marriage & Family Therapist | 27 East Victoria Street #m, Santa Barbara, CA 93101 | 2017-02-03 |
| 1063878395 | Kelly James Berger | Counselor | 133 East Haley Street, Santa Barbara, CA 93101 | 2015-12-31 |
| 1982080180 | Council On Alcohol and Drug Abuse | Early Intervention Provider Agency | 111 Garden Street, Santa Barbara, CA 93101 | 2015-08-11 |
| 1548656580 | Stella Sacks | Counselor | 107 E. Micheltorena Street, Santa Barbara, CA 93101 | 2015-04-07 |
| Find all providers in zip 93101 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265091946 | Christopher Wentling | Physician Assistant | 3006 Lomita Rd, Santa Barbara, CA 93105-3320 | 2019-06-06 |
| 1477036648 | Theresa Flanagan | Physician Assistant | 724 Miramonte Dr, Santa Barbara, CA 93109-1423 | 2018-09-12 |
| 1679001721 | Maira Alejandra Silva | Physician Assistant | 830 Alberta Ave, Santa Barbara, CA 93101-4702 | 2017-06-01 |
| 1821549569 | Christopher Huntsman | Physician Assistant | 1755 Grand Ave, Santa Barbara, CA 93103-1920 | 2016-10-18 |
| 1033463930 | Gregory David Leder | Physician Assistant | 3999 Via Lucero Apt A25, Santa Barbara, CA 93110-1682 | 2012-10-31 |
| 1952656019 | Christopher Carl Mcconnell | Physician Assistant | Ucsb Student Health Building 588 M C 7002, Santa Barbara, CA 93106 | 2012-07-16 |
| 1669735981 | Gabe Dudley | Physician Assistant | 400 West Pueblo Street, Santa Barbara, CA 93105 | 2012-06-21 |
| 1972823946 | Karen Kaiulani Goyal | Physician Assistant | 2400 Bath St Ste 201, Santa Barbara, CA 93105-4351 | 2010-06-01 |
| 1184946154 | Ali Evelyn Kunkel | Physician Assistant | 120 Barranca Ave Apt B, Santa Barbara, CA 93109-4203 | 2010-02-18 |
| 1164501649 | Claire Elizabeth Wiswall | Physician Assistant | 2320 Bath St Ste 205, Santa Barbara, CA 93105-5313 | 2006-11-03 |
| Find all providers in SANTA BARBARA | ||||
| City | SANTA BARBARA |
| Zip Code | 93101 |
Please comment or provide details below to improve the information on AMANDA 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.