Jayson Johnson, BS

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

24 Spindle Hill Rd
Wolcott, CT 06716-1722

Phone

(203) 879-5533

Fax

(203) 879-5537

NPI assigned

Dec 18, 2014

Sex

Male

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

Credentials

Bachelor of Science

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418860800000",
    "number": "1346648698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 E MAIN ST",
            "address_2": "4TH FLOOR WATERBURY",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067022310",
            "telephone_number": "203-574-9000",
            "fax_number": "203-574-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 SPINDLE HILL RD",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "067161722",
            "telephone_number": "203-879-5533",
            "fax_number": "203-879-5537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JAYSON",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-18",
        "last_updated": "2014-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inspiring Hope LLC
• Integrated Dermatology of Wolcott PLLC
• Integrated Healthcare Center, LLC
• Juliann M Jalbert, ACAGNP-BC
• Danielle Jarjura, M.S., CCC-SLP
• Joseph a Brenes MD, LLC
• Ronald S. Jurzyk, MD
• Diana Kashtelyan-Jakobson, PHARMD
• Annaliese Kaufman
• Hoorain Nasir Khan

• Community Health Worker in Wolcott, CT
• Providers in Wolcott, CT by specialty
• Community Health Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.