Individual provider Active NPI

Johanna Lehmann, PA-C

  • Physician Assistant
  • Helvetia, WV
National Provider Identifier
1083778518
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
820 Issued in WV
Practice address
100 S Pickens Rd
Helvetia, WV 26224
Phone
(304) 924-5453
Fax
(304) 924-5496
NPI assigned
Dec 20, 2006
Last updated
Aug 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 820 WV Primary

Addresses

Primary practice location

100 S Pickens Rd
Helvetia, WV 26224

Mailing address

100 S Pickens Rd
Helvetia, WV 26224
Phone (304) 924-5453

Other practice location 1

56 E Main St
Buckhannon, WV 26201-2754
Phone (304) 472-7473

Other identifiers 1

IdentifierTypeStateIssuer
1083778518MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080520000820 WV Practitioner - Physician Assistant 6002985736

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Associates for Women's Health Past Accepting new patients
Associates for Women's Health Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1083778518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S PICKENS RD",
            "city": "HELVETIA",
            "state": "WV",
            "postal_code": "26224",
            "telephone_number": "304-924-5453",
            "fax_number": "304-924-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S PICKENS RD",
            "city": "HELVETIA",
            "state": "WV",
            "postal_code": "26224",
            "telephone_number": "304-924-5453",
            "fax_number": "304-924-5496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "56 E Main St",
            "address_purpose": "LOCATION",
            "city": "Buckhannon",
            "state": "WV",
            "postal_code": "262012754",
            "country_code": "US",
            "telephone_number": "304-472-7473",
            "fax_number": "304-472-0533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEHMANN",
        "first_name": "JOHANNA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083778518",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helvetia, WV

Sources for this page

Verify at the official NPI Registry.