Samantha Nicole Johnson

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

1785 State Route 28 Lot 421
Goshen, OH 45122-9339

Phone

(513) 707-8721

NPI assigned

Oct 23, 2020

Last updated

Oct 23, 2020By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1235738816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1785 STATE ROUTE 28 LOT 421",
            "city": "GOSHEN",
            "state": "OH",
            "postal_code": "451229339",
            "telephone_number": "513-707-8721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 STATE ROUTE 28 LOT 421",
            "city": "GOSHEN",
            "state": "OH",
            "postal_code": "451229339",
            "telephone_number": "513-707-8721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SAMANTHA",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-23",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthsource of Ohio, Inc. (HealthSource Goshen)
• Healthsource of Ohio, Inc. (HealthSource: Loveland)
• Katelynn Marie Hembree
• Ashley Nicole Hensley
• Dalton Inabnitt
• Merwin Russell Jones III, DDS
• Kayla Patricia King
• Tara Lynn Knapp, STNA
• Annette Marie Kosmac, PH.D.
• Kroger Limited Partnership I (Kroger Pharmacy)

• Home Health Aide in Goshen, OH
• Providers in Goshen, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.