AMELIA MARIE JOHNSON


Address: 135 North Road, Wilton Family Medicine, Wilton, NY 12831-1308
Phone: 5189261935

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
NY LICENSE 402441 01

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Office Location

Street Address 135 NORTH ROAD
WILTON FAMILY MEDICINE
City WILTON
State NY
Zip Code 12831-1308

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144416074 Suzanne Dickson Psychologist 135 North Road, Wilton Medical Center, Wilton, NY 12831-1308 2007-09-25

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City WILTON
Zip Code 12831

Improve Information

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Dataset Information

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.

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