Individual provider Active NPI

Amanda Joy Johnson, M.S.N.

  • Family Nurse Practitioner
  • Rockville, MD
National Provider Identifier
1184050460
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN1029945 Issued in DC
Practice address
1992 Lancashire Dr
Rockville, MD 20854-6174
Phone
(404) 213-3731
NPI assigned
Sep 18, 2013
Last updated
Nov 14, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN1029945 DC Primary

Addresses

Primary practice location

1992 Lancashire Dr
Rockville, MD 20854-6174

Mailing address

1500 Galen St SE
Washington, DC 20020-4913
Phone (202) 610-7160

Other names 1

  • Ms. Amanda Joy Lasley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140318001049 DC Practitioner - Nurse Practitioner 7618108531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unity Health Care Inc.Group PAC ID 3476647264, 151 clinicians

Practice addresses (Care Compare)

1310 Southern Ave SE
Washington, DC 20032-4623
Phone (202) 574-7222

3020 14TH St NW
Washington, DC 20009-6865
Phone (202) 745-4300

425 2ND St NW
Washington, DC 20001-2003
Phone (202) 508-0500

4713 Wisconsin Ave NW
Washington, DC 20016-4609
Phone (202) 364-1419

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Health Care, Inc. CurrentSince Dec 17, 2013 Accepting new patients
Unity Health Care Inc. CurrentSince Dec 17, 2013 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Unity Health Care, Inc Past Accepting new patients

Locations

1100 New Jersey Ave SE
Ste 500
Washington, DC 20003
Phone (202) 279-1817

1310 Southern Ave SE
Washington, DC 20032
Phone (202) 574-6000

1500 Galen St SE
Washington, DC 20020
Phone (202) 610-7160

Interoperability endpoints

  • Direct secure messaging: amandajoy.johnson@uhci.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384387200000",
    "number": "1184050460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 GALEN ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200204913",
            "telephone_number": "202-610-7160",
            "fax_number": "202-610-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1992 LANCASHIRE DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208546174",
            "telephone_number": "404-213-3731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AMANDA",
        "middle_name": "JOY",
        "name_prefix": "Ms.",
        "credential": "M.S.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-18",
        "last_updated": "2013-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1029945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "LASLEY",
            "middle_name": "JOY",
            "prefix": "MS.",
            "credential": "M.S.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.