Active NPI
Paula Jean Johnson, GNA
- Nurse's Aide
- Ellicott City, MD
National Provider Identifier
1073705786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- A00011935
- Practice address
- 3300 N Ridge Rd
Suite 175
Ellicott City, MD 21043-3383 - Phone
- (410) 750-3474
- NPI assigned
- Aug 16, 2007
- Last updated
- Aug 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | A00011935 | MD | Primary |
Addresses
Primary practice location
3300 N Ridge Rd
Suite 175
Ellicott City, MD 21043-3383
Mailing address
755 212TH St
Pasadena, MD 21122-1677
Phone (410) 437-3805
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A00011935 | MD | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187222400000",
"number": "1073705786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 212TH ST",
"city": "PASADENA",
"state": "MD",
"postal_code": "211221677",
"telephone_number": "410-437-3805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 N RIDGE RD",
"address_2": "SUITE 175",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210433383",
"telephone_number": "410-750-3474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "PAULA",
"middle_name": "JEAN",
"credential": "GNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-16",
"last_updated": "2007-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "MD",
"license": "A00011935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellicott City, MD
- Johns Hopkins Regional Physicians LLC (JHRP-2850 North Ridge Rd Ste 102-Provider Type: 20 Physician)
- Johns Hopkins University (Jhu - 8429 Baltimore National Pike - Provider Type 20)
- Edward Johnson
- Kristen Mary Johnson, OTR/L, CLT
- Nikita Johnson, MIDWIFE, DOULA
- Tangie Johnson
- Kim Jones-Fearing, M.D.
- Dinah M. Jones, LCSW-C
- Erin Martha Jones, LCSW-C
- Esther Charity Jones
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.