Gregory Anthony Johansing

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

1001452 Issued in OR

Practice address

530 1/2 Chavner St
Gold Hill, OR 97525-9690

Phone

(909) 436-9030

NPI assigned

May 10, 2023

Last updated

May 10, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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": "1683676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1134819360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 1/2 CHAVNER ST",
            "city": "GOLD HILL",
            "state": "OR",
            "postal_code": "975259690",
            "telephone_number": "909-436-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 1/2 CHAVNER ST",
            "city": "GOLD HILL",
            "state": "OR",
            "postal_code": "975259690",
            "telephone_number": "909-436-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHANSING",
        "first_name": "GREGORY",
        "middle_name": "ANTHONY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "OR",
            "license": "1001452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn Alexander Frum, R.PH.
• Gold Hill Family Dentistry, LLC
• Karen Lynn Gonzalez, RN
• Heartnsoul, LLC
• Gilbert Alan Hice, DPM MS
• La Clinica del Valle Family Health Care Center Inc. (La Clinica School- Based Health Center at Patrick Elementary School)
• La Clinica del Valle Family Health Care Center Inc. (La Clinica School- Based Health Center at Hanby Middle School)
• Kyndra Laughery, MSW
• Leslie Elaine Lundberg, LAC, DOM
• Matilda Health Foundation

• General Practice Registered Nurse in Gold Hill, OR
• Providers in Gold Hill, OR by specialty
• General Practice Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.