Samantha R Johnson, CERTIFIED NURSE ASSI

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

246762 Issued in ND

Practice address

929 N Graham Ave
Winston Salem, NC 27101-3341

Phone

(336) 276-5595

NPI assigned

Sep 25, 2023

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

State licenses

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1124807557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 N GRAHAM AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271013341",
            "telephone_number": "336-276-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 N GRAHAM AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271013341",
            "telephone_number": "336-276-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SAMANTHA",
        "middle_name": "R",
        "credential": "CERTIFIED NURSE ASSI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "ND",
            "license": "246762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peyton Johnson
• Regina Johnson
• Regine Johnson
• Rhonda Jewelle Johnson, MA
• Robert Johnson, D.M.D.
• Sandy Johnson
• Shamica Lonette Johnson
• Shaniya Octavia Johnson, LMBT
• Sharon P Johnson, LCAS, LCSW
• Sheila Simone Johnson, FNP

• Home Health Aide in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Home Health Aide in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.