Alexander C. Johnston, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Morrisville, VT
NPI 1174948145 · NPPES record last updated Aug 5, 2019
Key facts
- NPI
- 1174948145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 101-0101897 (VT)
- Practice address
- 65 Northgate Plaza
Suite 11
Morrisville, VT 05661-5900 - Phone
- (802) 888-8320
- Fax
- (802) 888-8136
- NPI assigned
- Feb 26, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101-0101897 | VT | MD | Psychiatric/Mental Health Nurse Practitioner |
| 101.0101897 | VT | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lamoille Health Partners, Inc | Past | Accepting new patients |
Interoperability endpoints
- alexander.johnston@chslv.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 101.0101897 | VT | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 101-0101897 | VT | Yes |
Addresses
Primary practice location
65 Northgate Plaza
Suite 11
Morrisville, VT 05661-5900
Mailing address
617 Riverside Ave
Burlington, VT 05401-1601
Phone (802) 864-6309
Other providers in Morrisville, VT
- Katina Idol
- Patricia I Jaqua
- Benjamin Robert Jefka
- Lauren Jeanne Johnson
- Stephanie Johnson
- Heather Marie Jones
- John Kaeding
- Kate Donnally Licsw, LLC
- Marjorie Kelso
- Dana Elizabeth Kennedy
All providers in Morrisville, VT · Psychiatric/Mental Health Nurse Practitioner in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.