Amillia Johnson

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LN102196 Issued in RI

Practice address

10 Dorrance St
Providence, RI 02903-2018

Phone

(401) 206-4551

NPI assigned

Nov 5, 2024

Last updated

Nov 5, 2024By the provider in NPPES

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": "1730764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1033932223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 HILLSIDE AVE UNIT 201",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "028784646",
            "telephone_number": "401-206-4551",
            "fax_number": "877-573-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DORRANCE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029032018",
            "telephone_number": "401-206-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AMILLIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "RI",
            "license": "LN102196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilthonie A Johnson-Goncalves, MSW
• Heather Anne Johnson-Lafreniere, LICSW
• Aleta B Johnson, MSW LICSW
• Alexis Johnson, CCHW/CASE MANAGER
• Allison Johnson
• Amy Rebecca Johnson, MD
• Andrea Lauren Johnson, PHARMD
• Ann Elizabeth Johnson, MS, OTR L
• Christine Johnson
• Courtny Johnson

• Licensed Practical Nurse in Providence, RI
• Providers in Providence, RI by specialty
• Licensed Practical Nurse in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.