Christine Louise Johnson

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN350392 Issued in OH

Practice address

48926 State Route 14
New Waterford, OH 44445-9734

Phone

(330) 846-0091

NPI assigned

Oct 4, 2019

Last updated

Oct 4, 2019By the provider in NPPES

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

Electronic endpoints 1

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": "1570147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1073154670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48926 STATE ROUTE 14",
            "city": "NEW WATERFORD",
            "state": "OH",
            "postal_code": "444459734",
            "telephone_number": "330-846-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48926 STATE ROUTE 14",
            "city": "NEW WATERFORD",
            "state": "OH",
            "postal_code": "444459734",
            "telephone_number": "330-846-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHRISTINE",
        "middle_name": "LOUISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-04",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN350392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pandalady11@gmail.com",
            "affiliation": "N",
            "endpointDescription": "pandalady11@gmail.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "48926 State Route 14",
            "city": "New Waterford",
            "state": "OH",
            "country_code": "US",
            "postal_code": "444459734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patricia Ann Athey
• Kaley Nicole Day, FNP-BC
• Marcy Dellinger
• Diane Gayle Elliott, LPN
• Sharon Huff
• Rachel Martsolf, CNP
• Melinda Mayer, COTA/L
• Primary Convenient Care Corporation
• Carrie Root
• Ellen Thompson

• Registered Nurse in New Waterford, OH
• Providers in New Waterford, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.