Hollie Ann Johnson

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

4880 Old Airport Rd
Fairbanks, AK 99709-4456

Phone

(907) 313-1333

NPI assigned

Jun 4, 2024

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

Practice roles

Locations

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

• True North Recovery Inc

  • Community/Behavioral Health Agency
  • Fairbanks, AK
  • NPI 1073259636

  Peer Specialist

  NPD

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1235970153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4880 OLD AIRPORT RD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997094456",
            "telephone_number": "907-313-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4880 OLD AIRPORT RD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997094456",
            "telephone_number": "907-313-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "HOLLIE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Marie Johnson
• Essie Theresa Johnson, LPN
• Evelyn Johnson
• Gregory Lee Johnson, D.D.S
• Hannah Johnson
• Justin Johnson
• Katherine Elizabeth Johnson, M.D.
• Kelsey R Johnson, RN
• Kelsi Johnson, DPT
• Kevin Johnson Jr.

• Peer Specialist in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Peer Specialist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.