Johanna E Wierzbicki

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

41820 Garstin Drive
Big Bear Lake, CA 92315

Phone

(909) 878-2326

NPI assigned

Oct 5, 2023

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

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.

• The Mom & Dad Project

  • Case Management Agency
  • Big Bear Lake, CA
  • NPI 1962262097
  NPD

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1326828302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6609",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "923156609",
            "telephone_number": "909-878-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41820 GARSTIN DRIVE",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "92315",
            "telephone_number": "909-878-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIERZBICKI",
        "first_name": "JOHANNA",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Edward Wandel, RPH
• Regina Weiss, MS, LMFT
• Tara Nicole Wessel Swoboda
• Darrin Wheaton
• Patricia White
• Tracey M. Wood
• Kristine S. Yoshida, D.D.S.
• Johnny Lin Zhou
• M Lynnette Zickefoose
• Marilyn L Ziegler, OT

• Community Health Worker in Big Bear Lake, CA
• Providers in Big Bear Lake, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.