AMELIA MARIE JOHNSON (NPI# 1720574940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720574940 |
Entity Type | Individual |
Full Name | AMELIA MARIE JOHNSON |
Credential | NPP |
Practice Address |
135 North Road Wilton Family Medicine Wilton NY 12831-1308 |
Mailing Address |
100 Park Street Glens Falls Hospital - Credentialing Glens Falls NY 12801 |
Practice Telephone | 5189261935 |
Practice Fax Number | 5189264804 |
Mailing Telephone | 5189265924 |
Mailing Fax Number | 5189266983 |
Enumeration Date | 2018-07-11 |
Last Update Date | 2018-07-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
402441 | NY | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | LICENSE | 402441 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649891102 | Amelia Johnson | Counselor | 5230 S 6th Street Rd, Springfield, IL 62703-5128 | 2020-05-06 |
1235778580 | Amelia Johnson | Counselor | 12715 Telge Rd, Cypress, TX 77429-2289 | 2020-01-04 |
1962755801 | Amelia H Johnson | Physician Assistant | 300 N Graham St Ste 125, Portland, OR 97227-1683 | 2012-10-16 |
1275889271 | Amelia Johnson | Community Health Worker | 500 Hancock St, Saginaw, MI 48602-4224 | 2012-07-27 |
1043475577 | Amelia Barron Johnson | Counselor | 2505 Court Dr, Gastonia, NC 28054-2140 | 2008-07-24 |
1023099512 | Amelia M Johnson | Technician/Technologist | 25 N Main St, Suite A, Sparta, TN 38583-2055 | 2005-11-10 |
Street Address |
135 NORTH ROAD WILTON FAMILY MEDICINE |
City | WILTON |
State | NY |
Zip Code | 12831-1308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144416074 | Suzanne Dickson | Psychologist | 135 North Road, Wilton Medical Center, Wilton, NY 12831-1308 | 2007-09-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538509237 | Michelle Frey | Physician Assistant | 665 Saratoga Rd Ste 400, Wilton, NY 12831 | 2013-06-27 |
1336454198 | Michael Joseph Crook | Internal Medicine | 1000 Mountain Rd, Mt. Mcgregor Correctional Facility, Wilton, NY 12831 | 2010-08-17 |
1346570975 | Romina Tollerutti | Pediatrics | 31 Burnham Rd, Wilton, NY 12831 | 2010-01-04 |
1760632236 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 653 Route 9, Wilton, NY 12831 | 2008-09-22 |
1104931005 | Nicole Marie Byrne | Dentist | 659 Rt 9 Saratoga Rd, Gansevoort, NY 12831 | 2006-08-20 |
1952371635 | A Better Smile Family Dentistry PC | Dentist | 681 Saratoga Rd Rt 9, Wilton, NY 12831 | 2006-01-25 |
1376720789 | Mary Beth Lemery | Licensed Practical Nurse | 8 Edver Rd, Gansevoort, NY 12831-1025 | 2008-01-28 |
1437391166 | Ellen Kirker | Physical Therapist | 23 Briarhurst Dr, Gansevoort, NY 12831-1040 | 2009-03-26 |
1083850853 | Lorraine L Bruce | Licensed Practical Nurse | 180 Old West Rd, Gansevoort, NY 12831-1119 | 2008-12-29 |
1861766461 | Jenice Janelle Young | Registered Nurse | 4 White Birch Ln, Gansevoort, NY 12831-1142 | 2012-02-28 |
Find all providers in zip 12831 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912126285 | Linda M Smith | Nurse Practitioner | 51 Old Hwy, Wilton, CT 06897-3114 | 2007-04-25 |
1235454570 | Linda M. Smith LLC | Nurse Practitioner | 51 Old Hwy, Wilton, CT 06897-3114 | 2010-03-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013518794 | Johnson Oppong | Nurse Practitioner | 160 Theodore Fremd Ave Apt C2, Rye, NY 10580-2842 | 2020-11-08 |
1619578366 | Jecinter L Otieno | Nurse Practitioner | 195 Hillside Dr, Oneonta, NY 13820-3611 | 2020-11-07 |
1073113833 | Natalie Grant-villegas | Nurse Practitioner | 1210 Fulton St Apt 1, Brooklyn, NY 11216-2003 | 2020-10-29 |
1780284869 | Mary Gwynne Tillotson | Nurse Practitioner | 82 Oxford Ave, Buffalo, NY 14209-1406 | 2020-10-28 |
1780284273 | Angela Abramov | Nurse Practitioner | 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 | 2020-10-26 |
1407455967 | Marie J. Schwarz, Npp-bc PC | Nurse Practitioner | 133 E Main St Ste 3h, Babylon, NY 11702-3517 | 2020-10-25 |
1720687015 | Ashley Winn | Nurse Practitioner | 367 E Chester St, Long Beach, NY 11561-2324 | 2020-10-19 |
1114525961 | Tanya Monique Sydnor Holmes | Nurse Practitioner | 1601 Baldwin Blvd, Bay Shore, NY 11706-2145 | 2020-10-14 |
1669079976 | Mary Lynn Good | Nurse Practitioner | 3344 Chambers Rd # 200, Horseheads, NY 14845-1403 | 2020-10-08 |
1376140277 | Megan Elizabeth Bhatti | Nurse Practitioner | 2104 Delaware Ave Apt 1, Buffalo, NY 14216-3216 | 2020-10-04 |
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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.