ALYSSA VIRGINIA JOHNSTON (NPI# 1891281432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891281432 |
| Entity Type | Individual |
| Full Name | ALYSSA VIRGINIA JOHNSTON |
| Credential | NP |
| Practice Address |
5818 Max Dr Waterville OH 43566-9401 |
| Mailing Address |
2800 Rascommon Way Sacramento CA 95827-1127 |
| Practice Telephone | 7708769602 |
| Mailing Telephone | 7708769602 |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2020-06-04 |
| NPI Deactivation Date | 11/21/2019 |
| NPI Reactivation Date | 2019-11-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95013336 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
022277 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972946184 | Alyssa Johnston | Case Manager/Care Coordinator | 1320 S. Solano, Las Cruces, NM 88001 | 2013-04-08 |
| Street Address |
5818 MAX DR |
| City | WATERVILLE |
| State | OH |
| Zip Code | 43566-9401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053819490 | Bailey Jane Finch | Student in an Organized Health Care Education/Training Program | 9861 Neapolis Waterville Rd, Waterville, OH 43566 | 2018-01-31 |
| 1851722995 | Jennifer L. Kelly | Speech-Language Pathologist | 555 Anthony Wayne Trail, Waterville, OH 43566 | 2013-11-27 |
| 1821306069 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 8730 Waterville Swanton Rd, Waterville, OH 43566 | 2010-09-22 |
| 1184808453 | Steven B. Dood, M.d., LLC | Family Medicine | 140 South River Road, Waterville, OH 43566 | 2007-12-21 |
| 1922398171 | Jamie Kosanka | Pharmacist | 1330 Michigan Ave, Waterville, OH 43566 | 2011-04-08 |
| 1376799841 | Suzette M Pelton | Pharmacist | 1330 Michigan Ave, Waterville, OH 43566-1011 | 2008-08-14 |
| 1194016220 | Jan Dale Castanza | Pharmacist | 1330 Michigan Ave, Waterville, OH 43566-1011 | 2011-04-24 |
| 1114151966 | Ronald S. Lukasik II | Pharmacist | 1330 Michigan Ave, Waterville, OH 43566-1011 | 2009-05-08 |
| 1740671007 | Barbara Jane Chaney | Speech-Language Pathologist | 1121 Farnsworth Rd, Waterville, OH 43566-1036 | 2015-02-09 |
| 1952438319 | Jay Patrick Anderson | Chiropractor | 751 Michigan Ave, Waterville, OH 43566-1052 | 2007-02-27 |
| Find all providers in zip 43566 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093367278 | Tricia Rae Yates | Nurse Practitioner | 140 S River Rd, Waterville, OH 43566-1467 | 2019-07-09 |
| 1417451287 | Sarah Ashley Lacey | Nurse Practitioner | 244 Kennedy Memorial Dr Ste 201, Waterville, ME 04901-4538 | 2018-03-19 |
| 1376872606 | Tammy L Gannaway | Nurse Practitioner | 70 First Rangeway, Waterville, ME 04901 | 2009-12-16 |
| 1619151628 | Dana Merrill Law-ham | Nurse Practitioner | 180 Kennedy Memorial Dr Ste 304, Waterville, ME 04901-4548 | 2007-12-27 |
| 1356318588 | Donna Marie Sonner | Nurse Practitioner | 180 Kennedy Memorial Dr Ste 301, Waterville, ME 04901-4541 | 2006-03-07 |
| 1134121114 | Donna Bilodeau | Nurse Practitioner | 13 Railroad Sq, Kennebec Family Practice, Waterville, ME 04901-6139 | 2005-08-10 |
| 1245845361 | Aurora Healthcare | Nurse Practitioner | 32 College Ave Ste 102, Waterville, ME 04901-6100 | 2020-09-15 |
| 1962028878 | Kari Marie Frost | Nurse Practitioner | 174 Kennedy Memorial Dr, Waterville, ME 04901-5134 | 2020-06-17 |
| 1588289961 | Kellee Gorgone | Nurse Practitioner | 149 North St, Waterville, ME 04901-4974 | 2020-06-11 |
| 1932757705 | Erica Kramer | Nurse Practitioner | 4460 Mayflower Hl, Waterville, ME 04901-8844 | 2019-08-26 |
| Find all providers in WATERVILLE | ||||
| City | WATERVILLE |
| Zip Code | 43566 |
Please comment or provide details below to improve the information on ALYSSA VIRGINIA JOHNSTON.
| 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.