Angela M Johnson

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

130 Titlow Ave
Oak Hill, WV 25901-2540

Phone

(304) 469-6438

NPI assigned

Feb 18, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1013500180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 1/2 MAYFAIR AVE",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "259013018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 TITLOW AVE",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "259012540",
            "telephone_number": "304-469-6438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANGELA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Racheal Jeffries
• Alhmernita Jett
• Joann Tweeddale, Licsw, PLLC
• Johnathon J. Hale DDS PLLC
• Jodie Johns
• Joetta Johnson
• Locienda Johnson, FNP-BC
• Marcie R Johnson
• Rebecca Lynn Johnson, LMT
• Sharon Kay Johnson

• Community Health Worker in Oak Hill, WV
• Providers in Oak Hill, WV by specialty
• Community Health Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.