AMANDA JOHNSON (NPI# 1366040826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366040826 |
| Entity Type | Individual |
| Full Name | AMANDA JOHNSON |
| Practice Address |
1401 S Seward Meridian Pkwy # Ab Wasilla AK 99654-8312 |
| Practice Telephone | 9076313520 |
| Mailing Telephone | 9076313520 |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1225589062 | Amanda Johnson | Behavioral Analyst | 10828 172nd St, Jamaica, NY 11433-3030 | 2016-10-17 |
| Street Address |
1401 S SEWARD MERIDIAN PKWY # AB |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-8312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437774668 | Autum Lynn Vigdahl | Technician | 1401 S Seward Meridian Pkwy Ste Ab, Wasilla, AK 99654-8312 | 2020-06-12 |
| 1518453927 | Alexandra Ross | Technician | 1401 S Steward Meridian Parkway, Wasilla, AK 99654 | 2018-07-09 |
| 1891860565 | Job Ready, Inc | Technician | 357 E Parks Hwy, Wasilla, AK 99654-7040 | 2006-11-21 |
| 1255930335 | Amanda Marie Fedewa | Technician | 1401 S Seward Meridian Pkwy Ste Ab, Wasilla, AK 99654-8312 | 2020-10-20 |
| 1801411517 | Amy Ehrlinspiel | Technician | 1401 S Seward Meridian Pkwy # Abc, Wasilla, AK 99654-8312 | 2020-06-09 |
| 1932729373 | Stephanie Jean Nadeau | Technician | 1401 S Seward Meridian Pkwy, Wasilla, AK 99654-8312 | 2020-04-24 |
| 1720618853 | Michele K Tennis | Technician | 1401 S Seward Meridian Pkwy # Abc, Wasilla, AK 99654-8312 | 2020-01-16 |
| 1538652904 | Rebekah Louise Nicole Swan | Technician | 1401 S Seward Meridian Pkwy, Wasilla, AK 99654-8312 | 2018-06-11 |
| 1295228732 | Marion Sands | Technician | 1401 S Seward Meridian Pkwy, Wasilla, AK 99654-8312 | 2018-06-10 |
| 1386137883 | Norma Cobb | Technician | 1401 S Seward Meridian Pkwy, Wasilla, AK 99654-8312 | 2018-06-08 |
| Find all providers in WASILLA | ||||
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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.