AMY M. JOHNSON (NPI# 1386058345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386058345 |
| Entity Type | Individual |
| Full Name | AMY M. JOHNSON |
| Credential | FNP |
| Practice Address |
#5 4th Ave. E. Polson MT 59860 |
| Mailing Address |
P.o. Box 880 St. Ignatius MT 59865 |
| Practice Telephone | 4067453525 |
| Practice Fax Number | 4067453529 |
| Mailing Telephone | 4067453525 |
| Mailing Fax Number | 4067453529 |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2017-11-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | AP60763595 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
NUR-APRN-LIC-100 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1386058345 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164043808 | Amy Jeannine Johnson | Student in an Organized Health Care Education/Training Program | 136 Heritage Dr, Yankton, SD 57078-6714 | 2020-05-05 |
| 1114557550 | Amy L Johnson | Nurse Practitioner | 145 Indian Hills Dr, Greeneville, TN 37745-6316 | 2020-01-24 |
| 1861966277 | Amy Elizabeth Johnson | Nurse Practitioner | 21309 Foster Rd Ste 100, Spring, TX 77388-4209 | 2019-01-18 |
| 1407338700 | Amy Johnson | Social Worker | 115 A St, Framingham, MA 01701-4175 | 2018-09-04 |
| 1386151918 | Amy E Johnson | Social Worker | 412 Roanoke St, Avenel, NJ 07001-1317 | 2018-01-04 |
| 1952829277 | Amy Johnson | Social Worker | 9711 Lawndale Dr, Silver Spring, MD 20901-3025 | 2017-09-07 |
| 1427505064 | Amy Helen Johnson | Counselor | 1200 N Main St # 101, Santa Ana, CA 92701-3640 | 2016-09-01 |
| 1114371069 | Amy Johnson | Home Health Aide | 731 Camden Ave Sw, Canton, OH 44706-1241 | 2016-04-18 |
| 1265842710 | Amy Johnson | Speech-Language Pathologist | 2407 Ridge Rd, Pendleton, KY 40055-9623 | 2014-05-06 |
| 1114347242 | Amy Johnson | Developmental Therapist | 1987 Pieck Dr, Unit B, Covington, KY 41011-2692 | 2014-04-16 |
| Street Address |
#5 4TH AVE. E. |
| City | POLSON |
| State | MT |
| Zip Code | 59860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104255637 | Dacia Lee Antiste-fisher | Counselor | #5 4th Ave. E., Polson, MT 59860 | 2013-11-05 |
| 1770074478 | Diamond Tieafern Courville | Registered Nurse | #5 4th Ave. E., Polson, MT 59860 | 2018-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679095020 | Ashley J Gilham | Registered Nurse | #5 4th Ave E., Polson, MT 59860 | 2017-07-07 |
| 1225585532 | St. Luke Community Hospital | Clinic/Center | 107 Ridgewater Dr., Polson, MT 59860 | 2016-09-02 |
| 1306202163 | Western Montana Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 7 13th Ave East, Polson, MT 59860 | 2016-01-11 |
| 1154730364 | Wanda L King | Dietitian, Registered | 6 Thirteenth Avenue East, Poslon, MT 59860 | 2014-08-13 |
| 1154758134 | Richard Pierre | Pharmacy Technician | 5 4th Ave E., Polson, MT 59860 | 2013-10-04 |
| 1154755197 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 36318 Memory Lane, Polson, MT 59860 | 2013-08-27 |
| 1245582022 | Catherine D Addison | Registered Nurse | 5 4th Ave. East, Polson, MT 59860 | 2012-10-04 |
| 1114220787 | Erika Ann Weber | Social Worker | #5 4th Ave. E, Polson, MT 59860 | 2010-12-21 |
| 1942431473 | Lisa L. Scalpane | Counselor | 803 Main Street, Suite C, Polson, MT 59860 | 2009-07-31 |
| 1477727956 | Bernadette N. Corum | Family Medicine | #5 4th Ave. East, Polson, MT 59860 | 2008-04-16 |
| Find all providers in zip 59860 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821320508 | High Plains Family Healthcare, LLC | Clinical Nurse Specialist | 88 Johannes Ave, Suite A, Big Sandy, MT 59520 | 2010-02-05 |
| 1225213671 | Cynde Anne Watkins | Clinical Nurse Specialist | 2475 E Broadway St, Helena, MT 59601-4928 | 2008-01-04 |
Please comment or provide details below to improve the information on AMY M. 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.