CAITLIN JOHNSON (NPI# 1477114221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477114221 |
| Entity Type | Individual |
| Full Name | CAITLIN JOHNSON |
| Credential | APRN, FNP-BC |
| Practice Address |
4619 Kanawha Ave Sw South Charleston WV 25309-1319 |
| Mailing Address |
3503 Big Hurricane Creek Rd Fort Gay WV 25514-7515 |
| Practice Telephone | 3044004545 |
| Mailing Telephone | 3048405967 |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-06-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
103650 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134671274 | Caitlin Johnson | Dietitian, Registered | 306 Hampton Dr, Santa Maria, CA 93454-3497 | 2016-10-25 |
| 1750745212 | Caitlin Johnson | Social Worker | 2558 Rice St., Little Canada, MN 55113 | 2016-04-11 |
| 1710590930 | Caitlin Johnson | Behavior Technician | 225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900 | 2020-08-27 |
| 1003454711 | Caitlin Mariah Johnson | Counselor | 1414 Dug Gap Rd, Dalton, GA 30720-5007 | 2019-12-12 |
| 1164078465 | Caitlin Johnson | Social Worker | 17978 Sr 55, Baker, WV 26801 | 2019-08-13 |
| 1699232603 | Caitlin Johnson | Physical Therapist | 1530 Broad Ave, Gulfport, MS 39501-3601 | 2019-02-26 |
| 1831660166 | Caitlin Johnson | Rehabilitation Practitioner | 4285 N Rancho Dr, Las Vegas, NV 89130-3446 | 2018-12-16 |
| 1245700624 | Caitlin Ann Johnson | Occupational Therapy Assistant | 1505 Orrin Rd, Prescott, WI 54021-1074 | 2018-11-28 |
| 1477029676 | Caitlin Johnson | Behavior Technician | 6800 W Highway 98, Pensacola, FL 32506-8969 | 2018-10-16 |
| 1639665318 | Caitlin Johnson | Physical Therapist | 7 Carnegie Plz, Cherry Hill, NJ 08003-1000 | 2018-07-06 |
| Street Address |
4619 KANAWHA AVE SW |
| City | SOUTH CHARLESTON |
| State | WV |
| Zip Code | 25309-1319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841218872 | Tamejiro Takubo Jr. | Internal Medicine | 4619 Kanawha Ave Sw, South Charleston, WV 25309-1319 | 2006-07-17 |
| 1962028738 | Heath Collin Barnette | Nurse Practitioner | 4619 Kanawha Ave Sw, South Charleston, WV 25309-1319 | 2020-06-17 |
| 1114573417 | Kelsey Strickland | Nurse Practitioner | 4619 Kanawha Ave Sw, South Charleston, WV 25309-1319 | 2019-08-13 |
| 1538712138 | Yezenia Soto | Nurse Practitioner | 4619 Kanawha Ave Sw, South Charleston, WV 25309-1319 | 2019-07-23 |
| 1568958619 | Joshua Chase Anderson | Nurse Practitioner | 4619 Kanawha Ave Sw, South Charleston, WV 25309-1319 | 2018-07-02 |
| 1801270749 | Jeremy Lee Smith | Nurse Practitioner | 4619 Kanawha Ave Sw, South Charleston, WV 25309-1319 | 2015-07-09 |
| 1083056345 | Jamie Spencer | Nurse Practitioner | 4619 Kanawha Ave Sw, South Charleston, WV 25309-1319 | 2013-07-26 |
| 1679893036 | James D. Perry | Internal Medicine | 4619 Kanawha Ave Sw, South Charleston, WV 25309-1319 | 2010-06-09 |
| 1992945745 | Frederick Paul Clayton | Internal Medicine | 4619 Kanawha Ave Sw, South Charleston, WV 25309 | 2009-03-05 |
| 1629262944 | Phillip Cox | Internal Medicine | 4619 Kanawha Ave Sw, South Charleston, WV 25309-1319 | 2007-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376905 | Lovie Bradshaw | Technician | 4823 Tennessee St., South Charleston, WV 25309 | 2020-11-03 |
| 1306447735 | Barbara Mackenzie | Technician | 4224 Kanawha Turnpike, South Charleston, WV 25309 | 2020-11-03 |
| 1548861974 | Sarah Nichols | Technician | 4990 Colonial Park Dr. Apt. F, South Charleston, WV 25309 | 2020-11-03 |
| 1629690177 | Jennifer Mabry-goins | Technician | 4505 River Avenue, S Charleston, WV 25309 | 2020-05-07 |
| 1811537715 | Brandon C Dean | Psychologist | 4857 Macorkle Ave. Sw, South Charleston, WV 25309 | 2020-01-09 |
| 1467096057 | Linda Mullins | Technician | 60 Hayvon Lane, South Charleston, WV 25309 | 2019-11-06 |
| 1831743616 | Ann Myriah Beck | Nurse Practitioner | 4610 Maccorkle Ave Sw # 300, South Charleston, WV 25309 | 2019-07-30 |
| 1942671227 | Edward W Eskew | Family Medicine | 4605 Maccorkle Avenue, Sw, Thspp-psychiatry, South Charleston, WV 25309 | 2015-10-13 |
| 1720468218 | Link Investments LLC | Pharmacy | 5151 Macorkle Avenue, South Charleston, WV 25309 | 2015-06-01 |
| 1366840951 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 304 Southbridge Blvd., S.ccharleston, WV 25309 | 2014-12-12 |
| Find all providers in zip 25309 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427664143 | Mousumi Pinki | Nurse Practitioner | 353 Villa View Dr, Morgantown, WV 26505-2092 | 2020-09-17 |
| 1881209971 | Amber Nicole Smarr | Nurse Practitioner | 764 Harness Road, Fenwick, WV 26202 | 2020-09-15 |
| 1114547130 | Karen Beth Hill | Nurse Practitioner | 130 Brighton Cir, Princeton, WV 24739-9153 | 2020-04-20 |
| 1700416013 | Charles Brian Young | Nurse Practitioner | 350 Cheswick Dr, Martinsburg, WV 25403-7526 | 2020-01-26 |
| 1760036479 | Jessica Lynn Franke | Nurse Practitioner | 242 Kruger St, Wheeling, WV 26003-5166 | 2019-07-31 |
| 1093251076 | Jessica Ann Smith | Nurse Practitioner | 107 Staunton Dr # 9, Weston, WV 26452-5604 | 2017-01-13 |
| 1659979011 | Jerica Elaine Bobo | Nurse Practitioner | 22347 Northwestern Pike, Romney, WV 26757-6343 | 2020-10-16 |
| 1407460918 | Jordan Nicole Kesler | Nurse Practitioner | 527 Medical Park Dr Ste 501, Bridgeport, WV 26330-9010 | 2020-09-02 |
| 1568072106 | Kelli Marie Morrow | Nurse Practitioner | 61 Campus Dr, Martinsburg, WV 25404-7542 | 2020-08-07 |
| 1083250963 | Tanya Ann Maddy | Nurse Practitioner | 1710 Harper Rd, Beckley, WV 25801-3397 | 2019-11-26 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH CHARLESTON |
| Zip Code | 25309 |
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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.