Camille Machea Johnson

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

NURR37059 Issued in AK

Practice address

2521 E Mountain Village Dr Ste F
Wasilla, AK 99654-7373

Phone

(907) 290-3760

Fax

(907) 631-0647

NPI assigned

Jul 8, 2019

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1013579317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 S TIMBERWOOD CIR",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996458937",
            "telephone_number": "907-230-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 E MOUNTAIN VILLAGE DR STE F",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547373",
            "telephone_number": "907-290-3760",
            "fax_number": "907-631-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CAMILLE",
        "middle_name": "MACHEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "AK",
            "license": "NURR37059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Johnson-Tow, BSW CDC I
• Amanda Johnson
• Amber Johnson
• Ashley C Johnson, LMT
• Beth Johnson
• Christopher Johnson
• Elizabeth Johnson
• Gerald Bruce Johnson
• Jaylee Dawn Johnson
• Jennifer Johnson

• Addiction (Substance Use Disorder) Registered Nurse in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; 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.