NANCY ALEXANDRA JOHNSON (NPI# 1841779741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841779741 |
| Entity Type | Individual |
| Full Name | NANCY ALEXANDRA JOHNSON |
| Credential | CCMA |
| Practice Address |
3975 Midway Drive Baker City OR 97814 |
| Mailing Address |
2100 Main St Baker City OR 97814-2655 |
| Practice Telephone | 5415249070 |
| Practice Fax Number | 5415249077 |
| Mailing Telephone | 5415237400 |
| Mailing Fax Number | 5415234927 |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2018-08-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
L7K4S5N7 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629611694 | Nancy Lauren Johnson | Nurse Practitioner | 101 Mcleod Health Blvd, Myrtle Beach, SC 29579-4477 | 2019-10-23 |
| 1922579655 | Nancy G. Johnson | Counselor | 305 County Rd. K, Blanchardville, WI 53516 | 2018-12-06 |
| 1093117996 | Nancy Johnson | Registered Nurse | 17461 Ne 85th Street, Redmond, WA 98052 | 2014-09-23 |
| 1205236304 | Nancy N. Johnson | Counselor | 66-1463 E Ko Uka Pl, Kamuela, HI 96743-8311 | 2014-08-26 |
| 1003244922 | Nancy Johnson | Registered Nurse | 80 Roxbury St, Apt 1c, Staten Island, NY 10303-1915 | 2013-10-31 |
| 1265777965 | Nancy K Johnson | Obstetrics & Gynecology | 16 W Mather Ln, Cleveland, OH 44108-1158 | 2012-12-06 |
| 1982979266 | Nancy Jane Johnson | Social Worker | 1631-a E. Highway 66, El Reno, OK 73036 | 2012-03-20 |
| 1588964381 | Nancy Ellen Johnson | Pharmacist | 481 Old Mammoth Road, Mammoth Lakes, CA 93546 | 2010-10-26 |
| 1861724346 | Nancy L Johnson | Technician | 2207 W Hidalgo Ave, Phoenix, AZ 85041-3727 | 2010-02-08 |
| 1487805917 | Nancy L Johnson IIi | Counselor | 691 Whittenburg Dr, Collierville, TN 38017-1637 | 2008-10-02 |
| Street Address |
3975 MIDWAY DRIVE |
| City | BAKER CITY |
| State | OR |
| Zip Code | 97814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578707998 | Tammie R. Blessing | Social Worker | 3975 Midway Drive, Baker City, OR 97814 | 2009-04-29 |
| 1558988808 | Dylan Joseph-edward Chaves | Counselor | 3975 Midway Drive, Baker City, OR 97814 | 2020-07-02 |
| 1962027532 | Matthew Useda | Counselor | 3975 Midway Drive, Baker City, OR 97814-9781 | 2020-06-10 |
| 1265051726 | Mae Lynn Corwin | Counselor | 3975 Midway Drive, Baker City, OR 97814 | 2020-04-14 |
| 1528691680 | Michelle Lynn Dix | Community Health Worker | 3975 Midway Drive, Baker City, OR 97814 | 2020-02-18 |
| 1770144396 | Ronda Kissire | Counselor | 3975 Midway Drive, Baker City, OR 97814 | 2019-06-25 |
| 1679134209 | Marla Vivian Petrik | Counselor | 3975 Midway Drive, Baker City, OR 97814 | 2019-06-25 |
| 1508319922 | Gaylene Moyers | Case Manager/Care Coordinator | 3975 Midway Drive, Baker City, OR 97814-1005 | 2016-08-02 |
| 1558729350 | Cynthia Flynn | Counselor | 3975 Midway Drive, Baker City, OR 97814 | 2016-02-08 |
| 1811222680 | Deidre Gestrin | Counselor | 3975 Midway Drive, Baker City, OR 97814 | 2009-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083279871 | Charles Henry Campos | Counselor | 2021 Court Street, Baker City, OR 97814 | 2019-05-07 |
| 1831546217 | Veronica Crowder | Physician Assistant | Samg Orthopedics Baker City, 3325 Pocahontas Rd, Baker City, OR 97814 | 2016-05-16 |
| 1013389956 | Dara Michelle Fields | Counselor | 2200 4th Street, Baker City, OR 97814 | 2015-10-29 |
| 1003223694 | Colleen Davenport | Nurse Practitioner | 3975 N Midway Dr, Baker City, OR 97814 | 2014-07-16 |
| 1629418363 | Sherry Melena Zacharias Forsyth | Counselor | 2100 Main St., New Directions, Baker City, OR 97814 | 2013-06-26 |
| 1609215573 | Logan Clay Frederickson | Family Medicine | 3820 17th Street, Baker City, OR 97814 | 2013-06-24 |
| 1790124485 | James Lee Morris | Counselor | 3610 Midway, Baker City, OR 97814 | 2013-06-17 |
| 1881955656 | New Directions Northwest, Inc | Substance Abuse Rehabilitation Facility | 3610 Midway Drive, Baker City, OR 97814 | 2012-06-07 |
| 1972864759 | New Directions Northwest, Inc. | Substance Abuse Rehabilitation Facility | 3700 Midway Drive, Baker City, OR 97814 | 2012-06-07 |
| 1659671113 | Al H Brickman | Pharmacist | 1205 Campbell St., Baker City, OR 97814 | 2010-10-29 |
| Find all providers in zip 97814 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982009817 | Micah Thayn | Physician Assistant | 3950 17th St, Baker City, OR 97814-1300 | 2014-11-04 |
| 1437486875 | Monte W. Anderson | Physician Assistant | 3950 17th St, Ste A, Baker City, OR 97814-1300 | 2009-11-05 |
| 1922109107 | Gina Marie Glaubke | Physician Assistant | 3950 17th St, Suite A, Baker City, OR 97814-1300 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808605 | Pilar Lorena Lopez | Physician Assistant | 7675 Sw Spruce St, Tigard, OR 97223-8723 | 2020-10-15 |
| 1730787615 | Michael Hisao Mun Ho Pang | Physician Assistant | 1245 Sw 160th Ave, Beaverton, OR 97006-5052 | 2020-10-13 |
| 1144834805 | Logan Michael Johnston | Physician Assistant | 3319 Edgeview Ln, Forest Grove, OR 97116-1094 | 2020-09-01 |
| 1285255851 | Darby Samantha Jalbert | Physician Assistant | 2480 Liberty St Ne Ste 110, Salem, OR 97301-8381 | 2020-05-05 |
| 1033751433 | Trisha K Loch | Physician Assistant | 781 W Central, Sutherlin, OR 97479 | 2019-10-17 |
| 1154805729 | Ronald William Strohmeyer | Physician Assistant | 2327 S.w. 4th Ave, Ontario, OR 97914 | 2018-09-19 |
| 1740797166 | Joseph Something | Physician Assistant | 4800 Sw 76th Ave, Portland, OR 97225-1804 | 2018-01-08 |
| 1235687013 | Satchel Harry | Physician Assistant | 417 Sw 117th Ave Fl 2, Portland, OR 97225-5924 | 2016-09-21 |
| 1093263386 | Megan Smith | Physician Assistant | 375 Park Ave Ste 5, Coos Bay, OR 97420 | 2016-09-14 |
| 1659828044 | Ryan Jones | Physician Assistant | 1775 Thompson Rd Bay Or97420, Coos Bay, OR 97420-2125 | 2016-09-02 |
| Find all providers with the same taxonomy | ||||
| City | BAKER CITY |
| Zip Code | 97814 |
Please comment or provide details below to improve the information on NANCY ALEXANDRA 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.