Brenda Sue Johnson

Individual provider Active NPI Attendant Care Provider · Valdez, AK

NPI 1093845596 · NPPES record last updated Sep 11, 2025

Key facts

NPI
1093845596
Entity type
Individual (NPI type 1)
Primary specialty
Attendant Care Provider 3747A0650X
Practice address
128 Chenega St
Ste a
Valdez, AK 99686
Phone
(907) 835-3274
Fax
(907) 835-3512
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chore Provider 372500000X
Adult Companion 372600000X
Day Training/Habilitation Specialist 373H00000X
Attendant Care Provider 3747A0650X Yes
Personal Care Attendant 3747P1801X
Home Health Aide 374U00000X

Addresses

Primary practice location

128 Chenega St
Ste a
Valdez, AK 99686

Mailing address

PO Box 2173
Valdez, AK 99686
Phone (907) 835-3252

Other providers in Valdez, AK

All providers in Valdez, AK · Attendant Care Provider in Alaska

Sources for this page

Verify at the official NPI Registry.