Johanna Ellen Fickett, R.N.

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

027695 Issued in ME

Practice address

1270 Kot-Num Rd
Warm Springs, OR 97761

Phone

(541) 553-1196

Fax

(541) 553-2457

NPI assigned

Oct 6, 2006

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114014644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 215",
            "city": "MADRAS",
            "state": "OR",
            "postal_code": "977410036",
            "telephone_number": "541-553-1196",
            "fax_number": "541-553-2457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 KOT-NUM RD",
            "city": "WARM SPRINGS",
            "state": "OR",
            "postal_code": "97761",
            "telephone_number": "541-553-1196",
            "fax_number": "541-553-2457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FICKETT",
        "first_name": "JOHANNA",
        "middle_name": "ELLEN",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "ME",
            "license": "027695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeannette Delosangeles, PHARMD
• Denise Marie Devore, RN BSN
• Raneva J Dowty, PA
• Quynh-CHI Duong, PHARM.D.
• Lynette R Dziuk, OD
• Amanda Fields, DO
• Diane Marie Franklin, R.D.
• Cathy Marie French, RN
• Diane Fuller, RN
• Stephanie Funk, PHARMD

• Community Health Registered Nurse in Warm Springs, OR
• Providers in Warm Springs, OR by specialty
• Community Health Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.